Show simple item record

dc.contributor.authorBeyaz, Salih
dc.contributor.authorGuler, Umit Ozgr
dc.contributor.authorCinar, Bekir Murat
dc.contributor.authorBolat, Filiz Aka
dc.date.accessioned2019-06-17T07:14:13Z
dc.date.available2019-06-17T07:14:13Z
dc.date.issued2016
dc.identifier.issn0250-5150
dc.identifier.urihttps://dergipark.org.tr/download/article-file/220874
dc.identifier.urihttp://hdl.handle.net/11727/3563
dc.description.abstractGlucocorticoids (GC), often used in the treatment of diseases caused by autoimmune mechanisms, are the most common nontraumatic causative factor of femoral head avascular necrosis (FHAN). FHAN is, in turn, the most common cause leading to orthopedic surgery in patients using GCs. As GCs suppress the immune system, patients experience increased susceptibility to infections, including FHAN, which has a similar clinical manifestation with septic arthritis. In rare cases, septic arthritis may be caused by salmonella in patients using GCs. Core decompression is the gold standard in the treatment of early stage FHAN. We report a 28-year-old male patient with multiple sclerosis (MS) presenting with the complaints of hip pain. The patient had been treated with two megadoses of steroids. FHAN was considered due to X-ray and MRI findings. The patient underwent core decompression (CD) and salmonella bacteria growth was found in the hip puncture culture. Avascular necrosis associated with septic arthritis was determined. The patient was re-operated and irrigation and debridement for synovial tissues were performed two days following the first operation. While the association of septic arthritis with causative Salmonella and FHAN is rare except in sickle cell patients, septic arthritis must be considered and ruled out in patients who have previously undergone CD and did not show expected relief in early stage FHAN.en_US
dc.language.isoengen_US
dc.relation.isversionof10.17826/cutf.254608en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSalmonellaen_US
dc.subjectSeptic arthritisen_US
dc.subjectAvascular necrosisen_US
dc.titleContext Sensitive Links Free Full Text from Publisher Look up full-textLook Up Full Text Full Text Options 11 of 332 Intractable pain following core decompression caused by salmonella septic arthritisen_US
dc.typearticleen_US
dc.relation.journalCUKUROVA MEDICAL JOURNALen_US
dc.identifier.volume41en_US
dc.identifier.startpage42en_US
dc.identifier.endpage46en_US
dc.identifier.wos000404541200011


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record