Document Detail

Acute hematogenous osteomyelitis of a closed fracture with chronic superinfection.
MedLine Citation:
PMID:  8998882     Owner:  NLM     Status:  MEDLINE    
Acute hematogenous salmonella osteomyelitis is rare among immunocompetent adults. In this study, the authors reported an unusual case of salmonella enteriditis osteomyelitis of the humerus complicated by methicillin-resistant Staphylococcus aureus superinfection and eventual chronic osteomyelitis in an immunocompetent host. Resection of the humeral head and a significant portion of the humeral shaft coupled with numerous surgical debridements and intravenously administered antibiotics led to resolution of symptoms. This case provides a rare example of acute hematogenous osteomyelitis complicating a closed fracture and demonstrates the difficulty associated with eradication of these specific organisms while emphasizing the principle of aggressive surgical debridement in cases of chronic osteomyelitis.
F V Aluisio; S P Scully
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1997-01-23     Completed Date:  1997-01-23     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  239-44     Citation Subset:  AIM; IM    
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Acute Disease
Bacteremia / etiology*,  microbiology
Chronic Disease
Diabetes Mellitus, Type 2 / complications
Fractures, Closed / complications*
Humeral Fractures / complications*
Immunocompromised Host*
Methicillin Resistance*
Middle Aged
Osteomyelitis / etiology*,  microbiology
Salmonella Infections / etiology*
Salmonella enteritidis*
Staphylococcal Infections / etiology*
Staphylococcus aureus
Superinfection / etiology*

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

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