{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:40Z","timestamp":1756425880930,"version":"3.44.0"},"reference-count":45,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,5,16]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>Septic arthritis (SA) is a serious infection of the joint which can lead to irreversible destruction of the joint.<\/jats:p>\n               <jats:p>We report a case of right hip SA with septic pulmonary embolism following a complicated dental extraction in a woman in her early 40s with sickle cell trait (SCT).<\/jats:p>\n               <jats:p>The patient presented with severe right thigh pain and left jaw pain.<\/jats:p>\n               <jats:p>Initial workup revealed raised C reactive protein and positive blood cultures. Right hip joint SA was confirmed following intraoperative joint aspiration. The patient had right hip debridement with long-term intravenous antibiotics.<\/jats:p>\n               <jats:p>The incidence of SA in adults with sickle cell disease is low: 0.3% in a study in France and Brazil and 10.3% incidence of haematogenous osteoarticular infection in children with SCT in West Africa.<\/jats:p>","DOI":"10.1136\/bcr-2023-254945","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T20:05:15Z","timestamp":1716840315000},"page":"e254945","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Septic arthritis of the native hip joint and septic pulmonary embolism in an adult with sickle cell trait after a complicated dental extraction"],"prefix":"10.1136","volume":"17","author":[{"given":"Chukwudi Isaac","family":"Ayogu","sequence":"first","affiliation":[{"name":"Emergency Medicine, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balakrishna","family":"Valluru","sequence":"additional","affiliation":[{"name":"Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"2025082804373752000_17.5.e254945.1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.4103\/ajps.AJPS_114_20","article-title":"Haematogenous osteoarticular infections in paediatric sickle cell trait patients: a reality in a tertiary centre in West Africa","volume":"18","author":"Yaokreh","year":"2021","journal-title":"Afr J Paediatr Surg"},{"key":"2025082804373752000_17.5.e254945.2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945910371482"},{"key":"2025082804373752000_17.5.e254945.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2009.03.010"},{"key":"2025082804373752000_17.5.e254945.4","doi-asserted-by":"crossref","DOI":"10.1186\/s40798-018-0131-6","article-title":"Sickle cell trait and sudden death","volume":"4","author":"Mitchell","year":"2018","journal-title":"Sports Med Open"},{"key":"2025082804373752000_17.5.e254945.5","doi-asserted-by":"crossref","first-page":"25418","DOI":"10.3402\/jchimp.v4.25418","article-title":"Sickle cell trait: not as benign as once thought","volume":"4","author":"Khan","year":"2014","journal-title":"J Community Hosp Intern Med Perspect"},{"key":"2025082804373752000_17.5.e254945.6","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation-2015.1.160"},{"key":"2025082804373752000_17.5.e254945.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.12.020"},{"key":"2025082804373752000_17.5.e254945.8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5001\/omj.2010.2","article-title":"A review of clinical profile in sickle cell traits","volume":"25","author":"John","year":"2010","journal-title":"Oman Med J"},{"key":"2025082804373752000_17.5.e254945.9","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kew323"},{"key":"2025082804373752000_17.5.e254945.10","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1149-3"},{"key":"2025082804373752000_17.5.e254945.11","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(88)90079-5"},{"key":"2025082804373752000_17.5.e254945.12","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-197103000-00002"},{"key":"2025082804373752000_17.5.e254945.13","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.150434"},{"key":"2025082804373752000_17.5.e254945.14","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-021-04843-z","article-title":"Management of septic arthritis of the hip joint in adults. 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