Multiple Pyogenic Arthritis due to Serratia marcescens Following Renal Homotransplantation

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Abstract
One year after renal homotransplantation, a patient developed gingival ulcers infected with Serratia marcescens. Serratia bacteremia followed and insidious septic arthritis of four large joints then required surgical drainage and systemic gentamicin to eradicate the infection. Vigorous surgical and antibiotic therapy is recommended in this condition. The apparent association of avascular necrosis and infection is once more noted.