SEPTIC ARTHRITIS: A Case of Haemophilus – Aggregatibacter Aphrophilus

摘要

We report a case of a 45-year old male with history of recent history knee surgery after a motor vehicular accident who presented with progressive right hip pain, swelling and redness. X-ray showed destruction of the right femoral head with severe degenerative changes. Patient remained septic despite broad-spectrum antibiotics and multiple debridements. After two weeks, on anaerobic cultures from the aspirate, the organism was finally identified to be Haemophilus (Aggregatibacter aphrophilus) aphrophilus. Antibiotic was narrowed to ceftriaxone and continued for six weeks. After completion of his antibiotic treatment, the patient underwent right total hip arthroplasty with bone grafting. Eventually, he was able to walk with assistance and remained in good health.