Avascular necrosis of hip joint complicated with septic arthritis in a renal transplant patient: Case report

A 39-year-old male who is a renal transplant recipient on immunosuppressants presented with 2 month history of left hip pain, 2 weeks history of fever and painful movements. MRI and CT showed Septic arthritis with avascular necrosis of femur with osteomyelitis of acetabulum. He was taken up for surgery and underwent debridement and Left hip excision arthroplasty. Cultures were sent from the affected area and were found to be Klebsiella which was treated accordingly. The patient showed a drastic improvement in general condition after the procedure and was mobilized from post operative day 2. In the next 45 days, we could see almost complete resolution of the infection in hip