# Imaging in Septic Arthritis With Inflammatory Neuritis: Diagnosing a Rare Complication

**Authors:** Tushar Kalekar, Apurvaa Pachva, Sai Pavan Kumar

PMC · DOI: 10.7759/cureus.61771 · Cureus · 2024-06-05

## TL;DR

This paper discusses a rare case of septic arthritis with inflammatory neuritis following a femoral neck fracture, emphasizing the importance of imaging for accurate diagnosis.

## Contribution

The novelty lies in presenting a rare complication with detailed clinical and imaging insights to aid in early diagnosis.

## Key findings

- Magnetic resonance imaging and biopsy confirmed septic arthritis and inflammatory neuritis in a post-surgery patient.
- Early clinical evaluation and imaging are critical for preventing joint damage in such rare cases.

## Abstract

After femoral neck fractures, hip septic arthritis and inflammatory neuritis are extremely rare. For the purpose of making an accurate diagnosis and preventing serious joint damage, early clinical examination and imaging are crucial. Very few studies have thoroughly described the intraoperative and radiographic results of these disorders. We present the case of a 36-year-old man who developed right hip pain one month after undergoing surgery for a right femur head fracture. Magnetic resonance imaging and biopsy revealed the presence of septic arthritis and inflammatory neuritis. Following the initiation of conservative treatment, the patient is receiving routine follow-up. This case highlights its distinctive features and challenges of diagnosing this entity, emphasizing the significance of vigilant clinical evaluation and imaging modalities for prompt management and the best possible outcomes for patients.

## Linked entities

- **Diseases:** septic arthritis (MONDO:0004471)

## Full-text entities

- **Diseases:** joint damage (MESH:D007592), hip pain (MESH:D010146), Septic Arthritis (MESH:D001170), Inflammatory Neuritis (MESH:D009443), femoral neck fractures (MESH:D005265), femur head fracture (MESH:D005271)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11227421/full.md

## References

8 references — full list in the complete paper: https://tomesphere.com/paper/PMC11227421/full.md

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Source: https://tomesphere.com/paper/PMC11227421