Lyons Madeline, Zielinski Elizabeth, Satpathy Jibanananda
Georgetown University School of Medicine, Washington, DC, USA.
Department of Orthopaedics, Virginia Commonwealth University, Richmond, Virginia, USA.
BMJ Case Rep. 2018 Jan 11;2018:bcr-2017-223383. doi: 10.1136/bcr-2017-223383.
Group B streptococcus (GBS) infection of the hip in otherwise healthy adults is a rare entity that is previously only reported following peripartum gynaecological procedure and instrumentation. We report a case of infection of the hip with GBS following spontaneous abortion. Delay in identification of infection as the cause of pain ultimately leads to irreversible joint destruction. This case report will heighten the awareness of the first contact providers as well as orthopaedic surgeons to be more vigilant for possible septic complications associated with gynaecological procedures/complications and subsequent painful joints. To our knowledge, this is the only case report showing association of GBS infection in hip associated with spontaneous abortion.
B族链球菌(GBS)感染在其他方面健康的成年人中累及髋关节是一种罕见情况,此前仅在围产期妇科手术和器械操作后有过报道。我们报告一例自然流产后发生GBS髋关节感染的病例。将感染误诊为疼痛原因导致延误治疗,最终造成不可逆的关节破坏。本病例报告将提高首诊医生以及骨科医生的警惕性,使其更加关注与妇科手术/并发症及随后出现的关节疼痛相关的可能的败血症并发症。据我们所知,这是唯一一例显示GBS髋关节感染与自然流产相关的病例报告。