This report describes a rare case of a 39-year-old male with a history of long-term intravenous heroin addiction, nasopharyngeal carcinoma, and chronic hepatitis B and C, who developed acute septic arthritis of the bilateral hips. Arthrotomy and debridement of both hips were first performed. Based on the patient's immunocompromised condition, human immunodeficiency virus (HIV) infection was suspected and confirmed by Western blot test 3 days after operation. Although septic arthritis of the hip is a surgical emergency, a high index of suspicion is required for the diagnosis of HIV infection in drug addicts with multifocal septic arthritis. Such suspicion is crucial for surgeons to take adequate protection.
|Translated title of the contribution||長期吸毒合併兩側髖敗血性關節炎及人類免疫缺乏病毒感染：一病例報告|
|Number of pages||4|
|Journal||Journal of Orthopedic Surgery Taiwan|
|Publication status||Published - 2007|
- septic arthritis
- human immunodeficiency virus