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Puncture wound related pseudomonas infections of the foot in children
Authors:D. M. Niall  P. G. Murphy  E. E. Fogarty  F. E. Dowling  D. P. Moore
Affiliation:(1) Our Lady’s Hospital for Sick Children, Crumlin, Dublin;(2) 113 Queen’s Court, Queen’s Park, Monkstown, Co. Dublin
Abstract:Eleven children with Pseudomonas aeruginosa infection complicating foot puncture wounds were reviewed. Delay in presentation (mean 2 days) and diagnosis (mean 9 days) due to a paucity of clinical signs of deep infection was characteristic of this condition. Septic arthritis (5 patients) and osteomyelitis (3 patients) were frequent complications. Treatment involved multiple surgical debridements and prolonged intravenous antibiotic therapy. The clinical outcome was good although long-term radiographic changes were common.
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