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. 2019 Mar 22;17(5):4123–4131. doi: 10.3892/etm.2019.7430

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Copyright: © Li et al.

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Figure 1. — Images of a patient receiving a femoral head and neck resection (case 1). (A) Male, 59 years old with bilateral hip joint pain and sinus present for 3 months, no improvement after receiving I&D and an antibiotic treatment. (B and C) The patient successively underwent resection of the head and neck of the left and right hips. Culture results revealed the presence of Burkholderia pseudomallei. After the surgery, the CRP did not decline to the normal level for a long period of time and the patient received prolonged course of antibiotics. (D) After 1 year the CRP returned to a normal level, the patient successively underwent a left and right total hip arthroplasty. During the operation it was found that soft tissue surrounding the hip joint was difficult to loosen; a large amount of scar hypertrophy and a severe operative hemorrhage were observed in the acetabulum. The postoperative bilateral lower limbs were shortened, and the hip joints had poor range of motion. CRP, C-reactive protein; I&D, incision and debridement.