Septic Arthritis of The Hip in Lome (Togo)
K C Tagbor 1*, VES Koffi-Tessio2 , K Kakpovi3 , P Houzou4 , E Fianyo1 , S Oniankitan2, A-E Atake2 , P Kamkote 2, K H Amegan-Aho5, O Oniankitan2 and M Mijiyawa2
1 Rheumatology department, Be Hospital, Lome, Togo
2 Rheumatology department, Sylvanus Olympio Teaching Hospital, Lome, Togo.
3 Rheumatology department, Tomde Regional Hospital, Kara, Togo.
4 Rheumatology department, Kara Teaching Hospital, Kara, Togo.
5 Paediatric department, Ho Teaching Hospital, Ho, Ghana.
Citation: Tagbor KC, Tessi VESK, Kakpovi K, Houzou P, E Fianyo et al (2021). Septic Arthritis of The Hip in Lome (Togo). SciTech Immuno-Microbiology 2021.
Received: August 30, 2021 Accepted: September 02, 2021 Published: September 02, 2021
Abstract
Background: In Africa, data on Septic arthritis of the hip (SAH) are rare. The aim of this study is to determine the epidemiological, clinical, and bacteriological characteristics of septic arthritis of the hip (SAH) among Togolese patients.
Patients and Methods: This was a multicentre, descriptive study, conducted over a 16-year period on patients’ records at three departments of Rheumatology in Lomé.
Results: Seventy patients (62.86 % of females and 37.14% males) with mean age of 42.43 years, suffered from SAH. The mean duration of symptoms was 6.57 ± 8.85 months. The pain was inflammatory in nature in 46 (65.71%) patients (Table 1). The locations of the pain were: groin (35.71%) and greater trochanter (21.43%). A risk factor was identified in 63 (90.00%) patients. They were chronic alcohol abuse (34.29%), poor hygiene (24.29%), sickle cell disease (18.57%), HIV infection (7.14%), and diabetes (05.71%). The mean ESR was 73.96 ± 34.51 mm/hr (range: 15 mm/hr and 150 mm/hr). Radiologic features were: X-ray (78.57%) and CT (21.43%). Forty six (65.71%) patients with probable tuberculosis successfully completed twelve months of anti-tuberculosis therapy with no mortality. Of the 24 patients who underwent triple broad spectrum antibiotics, two deceased.
Conclusion: SAH despite its scarceness affects mostly young people and are often due to tuberculosis.
Keywords: Septic arthritis, Hip, Togo, Africa
