Department of Internal Medicine, Sinai Hospital of Baltimore, 2401 W. Belvedere Avenue, Baltimore, MD 21215, USA.
Department of Internal Medicine, Weifang Medical University, Weifang, China.
J Natl Med Assoc. 2023 Dec;115(6):577-579. doi: 10.1016/j.jnma.2023.09.008. Epub 2023 Oct 4.
A 62-year-old African American man with a history of avascular necrosis (AVN) of the right hip joint presented with severe right hip pain, dyspnea, fever, tachycardia, and hypertension. Computed tomography (CT) scan showed bilateral airspace opacities with a mild tree-in-bud nodularity in the left lower lobe. Ultrasonography of the lower extremities revealed a deep venous thrombus (DVT) in the right deep veins. Blood cultures grew Fusobacterium necrophorum. CT and magnetic resonance imaging showed right hip joint destruction and septic arthritis. The patient had a complicated hospital course leading to total hip arthroplasty with antibiotic-impregnated cementing.
一位 62 岁的非裔美国男性，有右侧髋关节缺血性坏死 (AVN) 病史，现出现严重的右侧髋关节疼痛、呼吸困难、发热、心动过速和高血压。计算机断层扫描 (CT) 显示双侧空气空间混浊，左下叶有轻度树芽状结节。下肢超声显示右侧深静脉有深静脉血栓形成 (DVT)。血液培养出坏死梭杆菌。CT 和磁共振成像显示右侧髋关节破坏和化脓性关节炎。该患者的住院过程复杂，最终进行了带抗生素骨水泥的全髋关节置换术。
