Salmonella osteomyelitis in an otherwise healthy adult male-successful management with conservative treatment: a case report

A 21-year-old male presented with pain in the right thigh of insidious onset and 3 months' duration. He had a history of febrile illness lasting for 15 days, 2 months prior to the onset of pain. Examination revealed swelling over the lower lateral aspect of the right thigh with some induration and tenderness. Initial X-rays of the right femur and the computed tomography scan at 10 weeks after the onset of disease were normal. Magnetic resonance imaging scan showed signal alteration with minimal destruction of the anterior cortex in the mid-diaphyseal region of the right femur. A repeated X-ray taken at 15 weeks after the onset of illness showed erosive changes, along with periosteal reaction in the diaphyseal area. The Widal test was positive. Open biopsy of the lesion revealed inflammatory non-caseating tissue. Culture of the specimen grew Salmonella typhi. The patient was given antibiotic treatment. Both X-rays and the Widal titres were normal on subsequent follow-up at 3 months.     

Acute osteomyelitis complicating a simple fracture. A case report

Osteomyelitis complicating a simple fracture is unusual, but the reason for its rarity is unknown. We report on a 9-year-old Black boy who developed acute osteomyelitis after sustaining an acute simple fracture of the femur. The causative role of trauma in acute osteomyelitis is discussed and 'the relative resistance of healthy bone' questioned.     

Salvage of Charcot foot neuropathy superimposed with osteomyelitis: a case report

The risk of amputation is dramatically increased in diabetic patients with osteomyelitis of the foot complicated by Charcot neuroarthropathy. Antibiotic-impregnated cement beads have been widely reported in the treatment of deep soft tissue and bone infections. This case report demonstrates that this approach can also aid the management of infected, unstable diabetic Charcot foot.     

Candidial osteomyelitis: a case report

Candidial osteomyelitis is rare but becoming more common. The spinal column is most affected in adults and one such patient is presented. The condition should be suspected if bone infection has followed long intensive care, parenteral feeding with central venous cannulation, the use of many antibiotics in combination and/or concomitant severe eye infection. If diagnosed, correct treatment with antifungal agents is curative.     

Concomitant acute osteomyelitis and squamous cell carcinoma of the foot: a case report

Squamous cell carcinoma of the foot is a common malignant neoplasm with a high potential for metastasis. Squamous cell carcinoma arising in chronic osteomyelitis has been widely reported; however, its presence in combination with acute osteomyelitis of the foot is not well known. This article presents such a case that demonstrates the importance of early recognition with appropriate management for limb salvage and successful oncologic outcome.     

Acute osteomyelitis complicating a closed radial fracture in a child. A case report.

Development of osteomyelitis in a closed fracture is very rare. Although it has been reported that trivial trauma may be associated with the subsequent development of acute osteomyelitis, Waldovel et al. (1970) found no evidence that fractures were involved in the etiology of osteomyelitis. We report a case in which the infection, after a closed fracture involved both metaphyses and the diaphysis of the radius.     

Yersinia enterocolitica osteomyelitis: A case report

We have reported a case of a 71-year-old male who developed osteomyelitis of his distal ulna due to Y. enterocolitica during chemotherapy for an oat-cell carcinoma. This case was remarkable because the osteomyelitis developed where 48 years earlier an osteosynthesis had been performed. To our knowledge this is the first case of a Yersinia osteomyelitis in a patient receiving immunosuppressive therapy, reported in the literature.     

Bilateral clavicle osteomyelitis: A case report

INTRODUCTION

Osteomyelitis of the clavicle is rare. Infection occurs from hematogenous spread or trauma. In adults infection is usually secondary due to an exogenous cause such as open fractures, surgery (iatrogenic) or spread from local tissue with infection.

PRESENTATION OF CASE

The case is presented here of a 50-year old female with bilateral clavicular fractures, who was operated on with open reduction and internal fixation. At the 6-month follow-up, she had complaints of bilateral osteomyelitis which was successfully treated with resection of the infected segment of the bone, and antibiotic impregnated collagen.

DISCUSSION

Predisposing factors include diabetes, intravenous drug abuse, tuberculosis or immune suppression. Management involves the removal of bone fixation, debridement of the bone and if there is a defect, coverage with a muscle flap is applied.

CONCLUSION

In cases of clavicular osteomyelitis where infection continues despite debridement and antibiotic therapy, excision of the sequestered clavicular section is a successful treatment approach and has been seen to improve quality of life without any functional loss.     

Acute compartment syndrome of the foot in a soccer player: a case report

Objective

To present the diagnostic and clinical features including management of acute compartment syndrome (ACS) of the foot and to create a sense of emergency amongst clinicians of this rare and dangerous condition.

Clinical Features

A 28-year old male soccer player on acetylsalicylic acid (ASA) and verapamil presented with severe swelling, paresthesia, and pain in the left ankle after an acute grade three-inversion ankle sprain. A diagnosis of foot compartment syndrome was made.

Intervention and Outcome

A fasciotomy was not performed and subsequent neurological sequelae occurred. We hypothesize that the edema caused by the ankle sprain was excessive due to the use of ASA and verapamil, resulting in increased compartmental pressure and neurological signs in the foot.

Summary

Although rare, it is extremely important to be aware of the clinical features of ACS of the foot to obtain an appropriate diagnosis and manage this medical emergency promptly.     

Iliac osteomyelitis in a newborn: a case report

Pelvis is a rare location of the hematogeneous osteomyelitis during the newborn period. Successful cure of osteomyelitis during the newborn period is dependent on a fast and true diagnosis and on sufficient treatment. In this case report, iliac osteomyelitis of a newborn that was clinically suspected on the fifth day, was diagnosed radiologically and was found to be caused by methicillin-sensitive Staphylococcus aureus, is presented. According to our knowledge, this is the youngest osteomyelitis case in the literature and the third presented iliac osteomyelitis case of the newborn period.     

Calcaneal osteomyelitis caused by Acremonium sp in an immunocompetent adult – A case report

Fungal osteomyelitis of calcaneus is rare in immunocompetent adults. A case of fungal osteomyelitis of calcaneus in a 19 year old immunocompetent female without any history of trauma caused by Acremonium sp is presented. The patient was treated with surgical debridement, autogenous iliac crest bone grafting and antifungal chemotherapy for 6 months. At latest follow up after 2 years, patient is asymptomatic and the osteolytic lesion is healed with no signs of recurrence. This case report highlights a rare presentation of chronic painful calcaneal osteomyelitis with an osteolytic lesion.