Myositis Ossificans of the Hip Due to Pyogenic Arthritis Caused by <i>Campylobacter fetus</i> Subspecies <i>fetus</i>

Abstract

A 61-year-old woman was admitted with severe hip pain causing immobility and high serum levels of inflammatory markers. The patient had a medical history of diabetes. She had been scheduled to undergo right hip replacement surgery for the treatment of osteoarthritis associated with gradually progressive pain. On admission, an enhanced abdominal computed tomography scan showed an abnormal increase in synovial fluid surrounding the right ilium, with piriformis muscle calcification. Subsequent blood and specimen cultures identified Campylobacter fetus subspecies fetus. This is a rare report of a case of myositis ossificans followed by C. fetus pyogenic arthritis of the hip.

Human campylobacteriosis: A public health concern of global importance

“…peloridis and C . showae , have also been reported to be implicated in causing human infections with some life-threatening complications in hospitalized patients (Nishiguchi et al., 2017). Some of these emerging Campylobacter species have also been isolated and detected in samples from the axillary nerve, soft tissue lesions, hepatic, lung, bone infections, the cerebrospinal, peritoneal fluid, genitalia, brain abscesses and thoracic empyema of hospitalized patients (Magana et al., 2017).…”

“…Other pathogenic Campylobacter species implicated in human infections includes C. mucosalis, C. curvus, C. insulaenigrae, C. doylei, C. concisus, C. helveticus and C. rectus (Cecil et al, 2012). Beside the well-known pathogenic species, other emerging species such as C. sputorum biovar sputorum, C. gracilis, C. ureolyticus, C. peloridis and C. showae, have also been reported to be implicated in causing human infections with some life-threatening complications in hospitalized patients (Nishiguchi et al, 2017). Some of these emerging Campylobacter species have also been isolated and detected in samples from the axillary nerve, soft tissue lesions, hepatic, lung, bone infections, the cerebrospinal, peritoneal fluid, genitalia, brain abscesses and thoracic empyema of hospitalized patients (Magana et al, 2017).…”

Inquiring into the Gaps of Campylobacter Surveillance Methods

“…There are also case reports of hospitalized humans due to life-threatening complications by Campylobacter -related species (namely C. concisus , C. curvus , C. fetus subsp . fetus , C. gracilis , C. rectus , C. peloridis , C. showae , C. sputorum biovar sputorum , C. upsaliensis and C. ureolyticus ) isolated from the cerebrospinal and peritoneal fluid, the axillary nerve, hepatic, lung, genitalia and brain abscesses as well as from soft tissue lesions, bone infections and thoracic empyema [ 28 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ]. In animals, the species C. avium has been isolated from the cecal contents of chickens and turkeys, C. canadensis from the cloacal swabs of whooping crane, Campylobacter cuniculorum from the cecal contents of rabbits, C. subantarcticus from the fecal swabs of albatross chicks and gentoo penguins, Campylobacter troglodytis from the stools of chimpanzees, and Campylobacter volucris from the cloacal swabs of gulls [ 48 , 49 , 50 , 51 , 52 , 53 ].…”