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Bacterial Arthritis of the Hip Due to Lemierre Syndrome

A Case Report

Mangan, John J., MD1; Tan, Timothy L., MD1; Freedman, Kevin, MD1,2; Levicoff, Eric, MD1,2

doi: 10.2106/JBJS.CC.18.00031
Case Reports

Case: A 20-year-old woman presented to the emergency department with a painful left hip. Clinical evaluation and investigation led to the diagnosis of bacterial arthritis of the left hip. After undergoing an irrigation and debridement, the patient became hypoxic and critically ill from sepsis due to Lemierre syndrome.

Conclusion: Lemierre syndrome is a rare clinical scenario that may present with bacterial arthritis secondary to septic embolization. Patients have anaerobic bacteremia and diffuse septic embolization that may spread to a joint and the lungs. This syndrome has substantial morbidity and mortality.

1Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

2Rothman Institute, Philadelphia, Pennsylvania

E-mail address for J.J. Mangan:

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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