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Hwang, Chung, Kang, Kim, Kim, Kim, Ha, and Choi: Septic Arthritis of the Hip Caused by Brucella abortus - A Case Report -
Case Report
Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2009; 44(1): 130-135.

Published online: 23 February 2009

DOI: https://doi.org/10.4055/jkoa.2009.44.1.130

Septic Arthritis of the Hip Caused by Brucella abortus - A Case Report -

Chung Soo Hwang, M.D., Phil Hyun Chung, M.D., Suk Kang, M.D., Jong Pil Kim, M.D., Young Sung Kim, M.D., Soo Ma Kim, M.D., Gyoung Yim Ha, M.D.*, Young Sil Choi, Ph.D.†

Department of Orthopedic Surgery, College of Medicine, Dongguk University, Gyeongju, Korea.

*Department of Laboratory Medicine, College of Medicine, Dongguk University, Gyeongju, Korea.

†Division of Zoonosis, Center for Immunology and Pathology, National Institute of Health, Korea Centers for Disease Control and Prevention, Seoul, Korea.

Address reprint requests to Jong Pil Kim, M.D. Department of Orthopaedic Surgery, College of Medicine, Dongguk University, 1090-1, Seokjang-dong, Gyeongju 780-350, Korea. Tel: +82.54-770-8221, Fax: +82.54-770-8378, kjpil@dongguk.ac.kr

Copyright © 2009 The Korean Orthopaedic Association

Abstract

Brucellosis is a glbally distributed zoonotic infection of the Brucella genus that can involve multiple tissue and organ. In Korea, Brucellosis is caused mainly by B. abortus. but there is no reported case of pyogenic hip joint infection due to Brucella infection in Korea. The authors report a rare case of B. abortus infection in a 40-year-old male cattle breeder male who presented with septic arthritis of the hip joint as the first clinical manifestation.

Keywords: Hip joint, Septic arthritis, Brucellosis

Figures and Tables

Fig. 1
Initial both hip AP radiograph shows slightly narrowing of left hip joint and old fracture of left proximal femur shaft.
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Fig. 2
T2 weighted enhanced image of MRI shows the high signal intensity joint effusion of left hip joint and signal change in left trochanteric area.
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Fig. 3
PCR products of Brucella genes are detected from the serum of the patient (lane M, 100 bp marker; lane 1, B. abortus; lane 2, normal control; lane 3, isolate from patient serum). A) BCSP31 kDa genes (223 bp), B) omp 36 kDa genes (195 bp), C) 16S rRNA genes (905 bp).
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Fig. 4
Multiplex-AMOS PCR results of isolate from patient serum is same as B. abortus ATCC 2308. (lane M, 100 bp marker; lane 1, B. melitensis 739; lane 2, B. melitensis 802; lane 3, B. abortus 23450; lane 4, B. abortus 7705; lane 5, B. abortus 23453; lane 6, B. abortus 2308; lane 7, B. suis 23446; lane 8, B. canis; lane 9, isolate from patient serum; lane 10, normal control).
jkoa-44-130-g004

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