Abstract
A 42-year-old patient presented acutely with bacteremic pneumococcal pneumonia along with metastatic pneumococcal infection of the hip joint. Diagnostic evaluation revealed evidence of a pre-existing bilateral hip osteonecrosis. The osteonecrotic changes were attributed to chronic alcohol abuse and/or an old motor vehicle accident. Appropriate therapy was promptly instituted and the septic arthritis responded well, necessitating hip aspiration only once. A few months later, the patient had no permanent sequelae of the infection.
MeSH terms
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Adult
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Anti-Bacterial Agents / administration & dosage
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Arthritis, Infectious / complications
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Arthritis, Infectious / drug therapy
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Arthritis, Infectious / microbiology*
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Humans
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Infusions, Intravenous
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Male
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Osteonecrosis / complications
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Osteonecrosis / drug therapy*
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Osteonecrosis / microbiology*
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Penicillins / administration & dosage
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Pneumococcal Infections / complications*
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Pneumococcal Infections / drug therapy
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Pneumonia, Pneumococcal / complications*
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Pneumonia, Pneumococcal / drug therapy
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Recovery of Function
Substances
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Anti-Bacterial Agents
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Penicillins