Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complication
Infective complications of cardiac catheterization have come down significantly in the past few decades but are occasionally reported. We report one such complication in an elderly female who developed septic arthritis of the hip due to Staphylococcus aureus infection following percutaneous coronary...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
| Series: | Journal of Indian College of Cardiology |
| Subjects: | |
| Online Access: | http://www.joicc.org/article.asp?issn=1561-8811;year=2021;volume=11;issue=3;spage=142;epage=144;aulast=Koduru |
| _version_ | 1797321548889063424 |
|---|---|
| author | Gopala Krishna Koduru Hari Krishna Basineni Srinivas Dandamudi Raghuram Palaparti Suman Pendyala P S S. Chowdary |
| author_facet | Gopala Krishna Koduru Hari Krishna Basineni Srinivas Dandamudi Raghuram Palaparti Suman Pendyala P S S. Chowdary |
| author_sort | Gopala Krishna Koduru |
| collection | DOAJ |
| description | Infective complications of cardiac catheterization have come down significantly in the past few decades but are occasionally reported. We report one such complication in an elderly female who developed septic arthritis of the hip due to Staphylococcus aureus infection following percutaneous coronary intervention through right femoral access. After an initial conservative strategy with girdlestone excision arthroplasty, she underwent a total hip replacement surgery as a staged procedure after the complete resolution of infection. With the increasing usage of femoral vascular access and vascular closure devices for various complex cardiac interventions in the present-day cardiac catheterization laboratory, a morbid complication like septic hip arthritis should be borne in mind whenever a patient presents with fever and hip joint pain, particularly when there are disproportionate or no significant local findings. Strict aseptic precautions, early identification by considering a magnetic resonance imaging scan early in the clinical course, and aggressive management are the key to better outcomes. |
| first_indexed | 2024-03-08T05:00:11Z |
| format | Article |
| id | doaj.art-345341c06dfb4a2f97888d8ea0031b88 |
| institution | Directory Open Access Journal |
| issn | 1561-8811 2213-3615 |
| language | English |
| last_indexed | 2024-03-08T05:00:11Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian College of Cardiology |
| spelling | doaj.art-345341c06dfb4a2f97888d8ea0031b882024-02-07T12:56:14ZengWolters Kluwer Medknow PublicationsJournal of Indian College of Cardiology1561-88112213-36152021-01-0111314214410.4103/JICC.JICC_43_20Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complicationGopala Krishna KoduruHari Krishna BasineniSrinivas DandamudiRaghuram PalapartiSuman PendyalaP S S. ChowdaryInfective complications of cardiac catheterization have come down significantly in the past few decades but are occasionally reported. We report one such complication in an elderly female who developed septic arthritis of the hip due to Staphylococcus aureus infection following percutaneous coronary intervention through right femoral access. After an initial conservative strategy with girdlestone excision arthroplasty, she underwent a total hip replacement surgery as a staged procedure after the complete resolution of infection. With the increasing usage of femoral vascular access and vascular closure devices for various complex cardiac interventions in the present-day cardiac catheterization laboratory, a morbid complication like septic hip arthritis should be borne in mind whenever a patient presents with fever and hip joint pain, particularly when there are disproportionate or no significant local findings. Strict aseptic precautions, early identification by considering a magnetic resonance imaging scan early in the clinical course, and aggressive management are the key to better outcomes.http://www.joicc.org/article.asp?issn=1561-8811;year=2021;volume=11;issue=3;spage=142;epage=144;aulast=Koduruinfective complications of cardiac catheterizationmorbid complicationpercutaneous coronary interventionseptic arthritis of the hip |
| spellingShingle | Gopala Krishna Koduru Hari Krishna Basineni Srinivas Dandamudi Raghuram Palaparti Suman Pendyala P S S. Chowdary Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complication Journal of Indian College of Cardiology infective complications of cardiac catheterization morbid complication percutaneous coronary intervention septic arthritis of the hip |
| title | Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complication |
| title_full | Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complication |
| title_fullStr | Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complication |
| title_full_unstemmed | Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complication |
| title_short | Septic arthritis of the hip after percutaneous coronary intervention: A rare and morbid complication |
| title_sort | septic arthritis of the hip after percutaneous coronary intervention a rare and morbid complication |
| topic | infective complications of cardiac catheterization morbid complication percutaneous coronary intervention septic arthritis of the hip |
| url | http://www.joicc.org/article.asp?issn=1561-8811;year=2021;volume=11;issue=3;spage=142;epage=144;aulast=Koduru |
| work_keys_str_mv | AT gopalakrishnakoduru septicarthritisofthehipafterpercutaneouscoronaryinterventionarareandmorbidcomplication AT harikrishnabasineni septicarthritisofthehipafterpercutaneouscoronaryinterventionarareandmorbidcomplication AT srinivasdandamudi septicarthritisofthehipafterpercutaneouscoronaryinterventionarareandmorbidcomplication AT raghurampalaparti septicarthritisofthehipafterpercutaneouscoronaryinterventionarareandmorbidcomplication AT sumanpendyala septicarthritisofthehipafterpercutaneouscoronaryinterventionarareandmorbidcomplication AT psschowdary septicarthritisofthehipafterpercutaneouscoronaryinterventionarareandmorbidcomplication |