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July 26, 1965

Insidious Sepsis Following Moore Prosthesis

Author Affiliations

From the Fracture Clinic, Massachusetts General Hospital, Boston.

JAMA. 1965;193(4):294-297. doi:10.1001/jama.1965.03090040038010

Dr. E. J. Morrissey: A 76-year-old spinster fell one hour before she was brought to the Emergency Ward of the Massachusetts General Hospital. X-ray films of the right hip showed a subcapital fracture (Fig 1). She sustained no other injuries.

On the day following her admission, a Moore prosthesis was inserted through a posterior approach (Fig 2). Her postoperative course was excellent until the sixth day when her temperature rose to 102 F (38.9 C). Although the incision appeared benign, the patient complained of pain in the hip. The joint was aspirated, but no collection of fluid was found. Cultures of the few drops of blood that were aspirated were negative. The white-blood-cell count was 11,700 cells/cu mm with a normal differential. The urine was cultured and grew out abundant coliform organisms. Chloramphenicol (Chloromycetin) was used to treat the urinary-tract infection; not only did her temperature rapidly return to normal,

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