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Septic Arthritis of the Hip Caused by Group B Streptococcus in a Postpartum PatientA Case Report
Anokhi D. Mehta, BA1; Kathleen S. Beebe, MD1; Daniel A. Seigerman, MD1; John D. Koerner, MD1; John S. Hwang, MD1; Francis R. Patterson, MD1
1 Division of Orthopaedic Oncology, Department of Orthopaedic Surgery, UMDNJ–New Jersey Medical School, Doctor's Office Center, 90 Bergen Street, Room 1200, Newark, NJ 07101. E-mail address for K.S. Beebe: beebeka@umdnj.edu
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Investigation performed at the Division of Orthopaedic Oncology, Department of Orthopaedic Surgery, UMDNJ–New Jersey Medical School, Newark, New Jersey



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Oct 24;2(4):e62 1-5. doi: 10.2106/JBJS.CC.L.00035
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Extract

Group B streptococcus is the leading cause of neonatal meningitis and sepsis, affecting approximately 9600 newborns in the United States annually1. Classically associated with newborn infection, it is also associated with 50,000 cases of pregnancy-connected morbidity, including urinary tract infection, chorioamnionitis, postpartum endometritis, and bacteremia1,2. Deutscher et al. stated that postpartum women have a “marked predisposition” for group B streptococcal infection3. While rare, cases of septic arthritis of the hip involving group B streptococcus have been reported, including one by Howell and Sheddon4. We present a postpartum woman with group B streptococcal septic arthritis of the right hip. This case highlights the importance of early diagnosis and awareness of septic arthritis in postpartum patients. The patient was informed that data concerning the case would be submitted for publication, and she provided consent.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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