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Case Report
Septic dislocation of the knee in the immunosuppressed: A triad of jeopardy in the face of COVID-19 pandemic
1 Department of Orthopedic and Trauma, University College Hospital, Ibadan, Oyo State, Nigeria
2 College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
Address correspondence to:
Olubunmi Emmanuel Odeyemi
College of Medicine, University of Ibadan, Ibadan, Oyo State,
Nigeria
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Article ID: 100016O03MB2020
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How to cite this article
Balogun M, Odeyemi OE, Oyewole G, Ogunrewo T. Septic dislocation of the knee in the immunosuppressed: A triad of jeopardy in the face of COVID-19 pandemic. Edorium J Orthop 2020;6:100016O03MB2020.ABSTRACT
Introduction: Posterior knee dislocation in adult sequel to septic arthritis of the knee joint is very rare. Being immunocompromised poses a greater threat on the morbidity and mortality that is associated with septic arthritis. Therefore, there is a need to be proactive in the diagnosis and treatment of septic arthritis, especially in the setting of immunosuppression. Reports in this aspect of the disease have been petit, therefore, this case report seeks to further create awareness of this unconventional presentation of acute septic arthritis, its rapid progression, and outcome in a diabetic.
Case Report: A 40-year-old man with background diabetic nephropathy presented with clinical and radiological features of septic dislocation of the left knee. He had multidisciplinary care by the endocrinology, renal, and orthopedic teams which include urgent joint arthrotomy and washout, reduction of dislocation, and immobilization with an above knee backslab, renal dialysis, and glycemic control with good clinical outcome. He was subsequently discharged for follow-up but he had difficulties booking appointment with the attending physicians because of the ensuing COVID-19 lockdown and he subsequently deteriorated and died.
Conclusion: The effect of COVID-19 is not only on infected patients but also hampering access to healthcare on the generality of patients.
Keywords: COVID-19, Diabetic nephropathy, Immunosuppression, Septic dislocation
SUPPORTING INFORMATION
Author Contributions
Mosimabale Balogun - Revising it critically for important intellectual content, Final approval of the version to be published
Olubunmi Emmanuel Odeyemi - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gboyega Oyewole - Revising it critically for important intellectual content, Final approval of the version to be published
Tolulope Ogunrewo - Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Mosimabale Balogun et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
