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Table 1 Previously reported 34 patients with ONFH accompanied with septic hip

From: The diagnosis and treatment of septic hip with osteonecrosis of the femoral head

Study

Sex/age

Risk factor of ONFH

Risk factor of Septic arthritis

Fever

WBC count (% of PMN)

ESR (mm/h)

CRP (> 0.5 mg/dL)

WBC count of joint fluid (% of PMN)

MRI (infection)

Culture of joint fluid

Treatment

Galindo et al. (2005)

F/47

CS with SLE

CS with SLE

+

/

/

/

/

+

MSSA

Antibiotics

 

Fab/38

CS with SLE

CS with SLE

+

/

/

/

/

+

MSSA

Arthrotomy

         

+

MSSA

Arthrotomy

Ostrum et al. (1993)

F/51

CS for heart TPL

Norcadia pneumonia

+

10,400 (90%)

/

/

/

/

Norcardiaa

Arthrotomy

Nuovo et al. (1991)

Mc/45

Alcohol-related

Intravenous drug abuse

4,000 (47%)

36

/

/

/

S. aureusc

Arthrotomy

Philips et al. (1988)

Ma/32

CS for HD

Subacute endocarditis

+

12,800

67

/

/

/

S. viridans

Arthrotomy

 

Ma/53

Idiopathic

None

6,300

95

/

/

/

S. aureus

Arthrotomy

 

M/14

Sickel cell disease

Pharyngitis

+

17,700

/

/

20,000

/

H. influenza

Arthrotomy

 

Ma/33

CS for renal TPL

Pharyngitis

18,700

/

/

/

/

Streptococcus

Arthrotomy

Shiota et al. (1981)

F/36

CS with SLE

GI Salmonellosis

+

12,500

127

/

/

/

Salmonella typhimuriumc

Arthrotomy

Habermann et al. (1978)

F/25

CS for renal TPL

Deep infection after TPL

+

/

/

/

/

/

S. aureusc

Repeated aspiration

 

F/21

CS with SLE

Skin infection

+

/

/

/

/

/

Negativec

Repeated aspiration

 

Mab/30

CS for renal TPL

Salmonella sepsis

+

/

/

/

70,000

/

Negativec

Repeated aspiration

        

30,000

/

Salmonellac

Repeated aspiration

 

M/20

CS for renal TPL

None

+

/

/

/

24,000

/

Peptostreptococcus

Repeated aspiration

Lee et al. (2011)

M/36

Alcohol-related

None

4,280 (49%)

29

3.35

110,000 (89%)

/

Negative

Arthroscopy

 

Ma/75

Alcohol-related

None

7,260 (72%)

53

3.15

/

+

Negative

Arthroscopy

 

Ma/48

Alcohol-related

None

6,120 (63%)

19

5.39

/

/

Negative

Arthrotomy

 

Ma/51

Alcohol-related

Osteomyelitis of toe

+

12,770 (46%)

18

1.13

23,000 (86%)

+

Negativec

Arthroscopy

 

Ma/37

Steroid-related

Subcutaneous abscess

+

7,090 (68%)

23

4.12

195,000 (96%)

+

MRCNSc

Arthroscopy

Kim et al. (2018)

M/50

Alcohol-related

alcoholic liver cirrhosis

end-stage renal disease

+

13,100

76

7.21

/

+

Stenotrophomonas maltophiliac

Arthroscopy

 

F/44

Idiopathic

None

+

/

62

14.7

400,000 (73%)

+

S. aureusc

Arthroscopy

Lee et al. (2019)

14 patients

/

None

3 patients+

/

All patients had elevated serum ESR (> 20 mm/h) and/or CRP (> 0.5 mg/dL)

/

12 patients+

/

Two-stage THA

  1. ONFH Osteonecrosis of the femoral head, PMN polymorphoneutrophil, ESR erythrocyte sedimentation rate, CRP C-reactive protein, CS corticosteroid, SLE systemic lupus erythematosus, MSSA methicilin-sensitive Staphylococcus aureus, TPL transplantation, HD Hodgkin disease, / Not recorded
  2. aBilateral ONFH
  3. bBilateral septic arthritis
  4. cPrevious use of antibiotics