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Bilateral Salmonella Septic Arthritis of the Hip in a Patient with Crohn Disease

A Case Report

Mansour, Elie, MD1,a; El-Masri, Firas, MD1,b

doi: 10.2106/JBJS.CC.16.00045
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Case: A 27-year-old immunocompromised man with Crohn disease presented with bilateral septic hip arthritis due to Salmonella enterica serotype Typhi. The diagnosis was confirmed by synovial membrane and effusion culture specimens that were obtained during arthroscopic debridement of both hips.

Conclusion: Prolonged antimicrobial therapy, bilateral femoral head resection, and placement of cement spacers for 5 months, followed by bilateral total hip arthroplasty, was a radical and effective treatment for a patient with Crohn disease and bilateral Salmonella septic arthritis of the hip.

1Department of Orthopedic Surgery, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon

aE-mail address for E. Mansour: eliejoseph.mansour@gmail.com

bE-mail address for F. El-Masri: firaselmasri@hotmail.com

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
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