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Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
CASE REPORT
Avascular necrosis: a growing concern for the HIV population
  1. Kevin R Green,
  2. Jarelys M Hernandez-Jimenez,
  3. Carmen Liliana Isache,
  4. Rafik Jacob
  1. Department of Internal Medicine, University of Florida Health, Jacksonville, Florida, USA
  1. Correspondence to Dr. Kevin R Green, Kevin.Green{at}jax.ufl.edu

Summary

A 33-year-old woman with history of HIV presented with 4 months of gradually progressing right hip pain and was found to have avascular necrosis (AVN) of both femoral heads. She had no other risk factors for AVN including sickle cell disease, systemic lupus erythematosus, prolonged steroid used or trauma. She initially failed conservative management and ultimately had bilateral hip core decompressions. After decompression therapy, the left femoral head collapsed and patient underwent a left total hip arthroplasty. Her postsurgical course was complicated by the left sciatic nerve neuropathy for which she is currently being managed with duloxetine. She has yet to follow-up with her orthopaedic surgeon for further evaluation.

  • Hiv / aids
  • musculoskeletal syndromes

https://doi.org/10.1136/bcr-2017-221678

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    Footnotes

    • Contributors KRG and JMH-J contributed to the writing and literature review of the manuscript. CLI, a board certified infectious disease specialist, contributed to the editing of critical parts of our manuscript and discussion of HIV pathophysiology in relation to avascular necrosis. RJ contributed to the planning and editing of critical parts of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.