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What Is The Infection Detected In Hip Aspiration After Ceramic Hip Replacement?
BHR to left hip in 2001, ill with erythema nodosum 2003, admitted to hospital as an emergency. 2007 hip removed and revised to ceramic hip, metallosis found. 2010 D & C routine swabs revealed MRSA. Recently had hip apsiration told infected but not seen consultant again yet. Any ideas what infection could be
Sat, 5 Apr 2014
Hi
Thanks for writing
The most likely infection in joint is staphylococcal aureus. Broad spectrum antibiotic may be started without waiting for the pus culture report. To assess the severity I would advice complete blood count along with CRP (C reactive protein) and ESR (erythrocyte sedimentation rate).
Antibiotics like linezolid, clindamycin, imipenem have excellent result.
Take care and I shall be glad to answer any further query.
Regards
Dr.mukesh chugh (http://bit.ly/drmchugh)
Orthopaedic surgeon
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