Septic arthritis of the hip caused by nontyphoidal salmonella: A case report

Abstract

Salmonella nontyphoidal (NTS) infection can cause bacteremia, enteric fever, and gastroenteritis. However, NTS-induced osteoarticular infections are uncommon. We describe a 65-year-old man who had a right hip infection brought on by NTS. He was successfully treated with staged procedures of debridement and antibiotic mobile spacer insertion followed by an Uncemented hip replacement as the second stage. He was doing well free of recurrence at the 8 year follow up. Septic parameters at this time were normal. This case is given since there have been few cases of hip joint infection caused by NTS. Prompt detection and diagnosis of the organism is crucial.Articular erosion and joint destruction once proved, in delayed presentations, will need radical debridement for eradication of the infection. The use of a prosthesis made of antibiotic-loaded acrylic cement and prolonged antimicrobial therapy is necessary.