Document Detail


Acute haematogenous osteomyelitis of the patella revealed by a pathological fracture in multiple myeloma.
MedLine Citation:
PMID:  1732405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 57-year-old man was followed up for multiple myeloma with no lytic bone lesions. During a septicaema, he presented with a pathological fracture of the patella. Despite a poor haematological status, he received surgical treatment, which allowed diagnosis of haematogenous osteomyelitis of the patella. The outcome was favourable, with a 6-week plaster immobilization after cerclage and 4 months of intravenous antibiotic therapy. This case emphasizes the fact that one well-known cause of bone lesions may lead to an erroneous diagnosis. The successful clinical course suggests that accurate therapeutic management may be discussed in haematological malignancies when intensive-care support is available.
Authors:
A Guerci; D Mainard; D Thiery
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of internal medicine     Volume:  231     ISSN:  0954-6820     ISO Abbreviation:  J. Intern. Med.     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-02-27     Completed Date:  1992-02-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8904841     Medline TA:  J Intern Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  87-8     Citation Subset:  IM    
Affiliation:
Service de Médecine Interne A, CHU Brabois, Vandoeuvre-lès-Nancy, France.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Bacteremia / complications
Fractures, Spontaneous / pathology*
Humans
Male
Middle Aged
Multiple Myeloma / complications*
Osteomyelitis / complications,  microbiology,  pathology*
Patella / injuries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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