J Korean Orthop Assoc.  2014 Aug;49(4):326-330. 10.4055/jkoa.2014.49.4.326.

Mycoplasma hominis Septic Arthritis of the Hip Developed in the Postpartum Period

• Kim BG
• Youn HK
• Kim JW
• Ok HS

• KMID: 2185198
• DOI: http://doi.org/10.4055/jkoa.2014.49.4.326

Abstract

Septic arthritis of the hip is rarely caused by Mycoplasma hominis. It rarely develops in a patient during the postpartum period. However, delayed treatment of septic arthritis of the hip may lead to serious sequelae; therefore, it is important for clinicians not to overlook patients with the disease. This case illustrates the clinical steps in diagnosis and treatment of M. hominis septic arthritis of the hip.

Keyword

hip; septic arthritis; Mycoplasma hominis; postpartum period; two-needle irrigation

MeSH Terms

Arthritis, Infectious*
Diagnosis
Hip*
Humans
Mycoplasma hominis*
Postpartum Period*

Figure

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  Figure 1 Magnetic resonance imaging (MRI) of the hip joint. Axial (A) and coronal (B) MRI images of the hip joint show a moderate joint effusion with edematous change on the surrounding soft tissue.

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  Figure 2 Hip joint irrigation using the two-needle irrigation technique. The left needle supplies sterile saline solution and the right needle drains the irrigated fluid outside the hip joint.

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  Figure 3 The relationship between the trend of the patient's inflammatory markers, fever pattern and antibiotic prescription. CRP, C-reactive protein; HD, hospital day.

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