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Case report
Infection of the hip joint by Serratia marcescens
  1. Aude Pérusseau-Lambert,
  2. Joe Jan Gouda and
  3. Hilal Fareed
  1. Trauma and Orthopaedic Surgery, Isle of Wight NHS Trust, Newport, UK
  1. Correspondence to Dr Aude Pérusseau-Lambert; aude.perusseau-lambert{at}nhs.net

Abstract

A 72-year-old male patient presented to the hospital because of sudden inability to bear weight and without a history of trauma. A fracture of the head of the femur was identified on CT scan of the pelvis. In his history, the patient had a hospital admission 3 months earlier, during which he had a urinary catheter, and a urine specimen was analysed. The same pathogen was found in the patient urine and in the head of the femur specimen. This is a report of blood-borne spread of Serratia marcescens infection from the urothelium to the hip joint, responsible for spontaneous fracture of the femoral head without history of trauma.

  • hip implants
  • bone and joint infections
  • orthopaedics
  • musculoskeletal and joint disorders
  • rheumatology

https://doi.org/10.1136/bcr-2020-234607

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    Footnotes

    • Contributors AP-L, JG: substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work. Drafting the work or revising it critically for important intellectual content. HF: final approval of the version to be published. AP-L, JG, HF: agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • 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 for publication Obtained.

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