Abstract
Septic hip is rare in patients with femoral head osteonecrosis (FHON) and has been known to occur in those who are immune compromised. Thus, surgeons do not concern about the superimposed septic hip in immunocompetent patients. We report five patients who had FHON and concomitant septic arthritis of the hip. No patients were immune compromised. All patients had an elevation of ESR and CRP. Two patients had an otherwise unexplained fever preoperatively. Two patients had had a remote septic focus. When a patient with FHON has an unexplained elevation of ESR and CRP, concomitant septic arthritis of the hip should be suspected even though the patient is not immune compromised.
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The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.
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Lee, YK., Lee, Y.J., Ha, YC. et al. Septic arthritis of the hip in patients with femoral head osteonecrosis. Arch Orthop Trauma Surg 131, 1585–1590 (2011). https://doi.org/10.1007/s00402-011-1334-1
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DOI: https://doi.org/10.1007/s00402-011-1334-1