BMJ Case Reports 2018; doi:10.1136/bcr-2017-223383
  • Unusual association of diseases/symptoms

Group B streptococcus septic arthritis of the hip following spontaneous abortion

  1. Jibanananda Satpathy2
  1. 1Georgetown University School of Medicine, Washington, DC, USA
  2. 2Department of Orthopaedics, Virginia Commonwealth University, Richmond, Virginia, USA
  1. Correspondence to Madeline Lyons, madelinemlyons{at}
  • Accepted 13 December 2017
  • Published 11 January 2018


Group B streptococcus (GBS) infection of the hip in otherwise healthy adults is a rare entity that is previously only reported following peripartum gynaecological procedure and instrumentation. We report a case of infection of the hip with GBS following spontaneous abortion. Delay in identification of infection as the cause of pain ultimately leads to irreversible joint destruction. This case report will heighten the awareness of the first contact providers as well as orthopaedic surgeons to be more vigilant for possible septic complications associated with gynaecological procedures/complications and subsequent painful joints. To our knowledge, this is the only case report showing association of GBS infection in hip associated with spontaneous abortion.


  • Contributors ML involved in data acquisition, analysis and drafting of the manuscript. EZ and JS involved in revising it critically for important intellectual content. All authors read and approved the final manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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