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Osteonecrosis with Concomitant Bacterial Osteomyelitis of Both Hips and a Knee in a Post-COVID-19 Patient: A Case Report.
Jain, Sanjeev; Sawant, Tushar.
  • Jain S; Orthopaedic and Joint Replacement Surgeon, Department of Orthopaedics, Dr L H Hiranandani Hospital, Powai, Mumbai, Maharashtra, India.
  • Sawant T; HOME (Hiranandani Orthopaedic Medical Education).
JBJS Case Connect ; 12(1)2022 02 24.
Article in English | MEDLINE | ID: covidwho-1705410
ABSTRACT
CASE We report the case of a coronavirus disease 2019 (COVID-19)-recovered, 42-year-old man with osteonecrosis and concomitant acute bacterial osteomyelitis of both hips and his left knee. The patient underwent total hip replacement for both hips and arthroscopic decompression and synovectomy of the knee joint. On follow-up, he has complete and painless range of motion with resolving osteomyelitis and no signs of active infection.

CONCLUSION:

Corticosteroid therapy and COVID-19-associated thrombotic microangiopathy might have caused osteonecrosis in our patient. However, concomitant osteomyelitis is extremely rare and might be overlooked because of elevated inflammatory markers after recovery from COVID-19 infection.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Osteomyelitis / Osteonecrosis / COVID-19 Type of study: Case report / Cohort study / Prognostic study Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Jbjs.Cc.21.00629

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Osteomyelitis / Osteonecrosis / COVID-19 Type of study: Case report / Cohort study / Prognostic study Topics: Long Covid Limits: Adult / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Jbjs.Cc.21.00629