Anaerobe · 2024
Fusobacterium necrophorum septic arthritis of the hip: A case-report and literature review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Franceschi Giacomo, Marchi Mattia, Zambianchi Francesco, Meschiari Marianna, Mussini Cristina, Bedini Andrea
Аннотация
INTRODUCTION: Fusobacterium necrophorum is a rare but significant cause of septic arthritis, typically following oropharyngeal infections in adolescents. This anaerobic pathogen, commonly associated with Lemierre's syndrome, can lead to joint infections, posing risks for severe morbidity if diagnosis and treatment are delayed. Awareness and timely intervention are essential for preventing long-term joint damage.
CASE REPORT: We report the case of a 19-year-old woman who developed high fever and acute right hip pain one week after a sore throat. Imaging revealed septic arthritis, with F. necrophorum identified in both blood and synovial fluid cultures. She received intravenous piperacillin/tazobactam, followed by outpatient parenteral therapy through an elastomeric pump, achieving full recovery. This case adds to the 42 cases documented in our literature review, reinforcing the need for prompt antimicrobial therapy.
CONCLUSION: Fusobacterium-induced septic arthritis, though uncommon, should be considered in young patients presenting with joint infections post-pharyngitis. Early diagnosis and targeted antimicrobial therapy, particularly with β-lactamase inhibitors, are critical for effective management and preventing joint sequelae.
CASE REPORT: We report the case of a 19-year-old woman who developed high fever and acute right hip pain one week after a sore throat. Imaging revealed septic arthritis, with F. necrophorum identified in both blood and synovial fluid cultures. She received intravenous piperacillin/tazobactam, followed by outpatient parenteral therapy through an elastomeric pump, achieving full recovery. This case adds to the 42 cases documented in our literature review, reinforcing the need for prompt antimicrobial therapy.
CONCLUSION: Fusobacterium-induced septic arthritis, though uncommon, should be considered in young patients presenting with joint infections post-pharyngitis. Early diagnosis and targeted antimicrobial therapy, particularly with β-lactamase inhibitors, are critical for effective management and preventing joint sequelae.