Document Detail


Pseudomonas osteomyelitis of the talus: review of the pathophysiology and report of a rare case.
MedLine Citation:
PMID:  19857824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hematogenous Pseudomonas aeruginosa osteomyelitis of the talus is a rare cause of ankle swelling and limping in children. The case presented herein is that of chronic osteomyelitis of the talus with sequestrum formation. The patient was successfully treated with sequestrectomy and curettage, immobilization, and antibiotic therapy. One year following the operation, the patient displayed mild restriction of ankle dorsiflexion, without evidence of inflammation or arthritis, and radiographs revealed remodeling of the talar neck with increased radiographic density at the site of sequestrectomy. There was no evidence of avascular necrosis or disturbance of the growth of the talus. Although rare, osteomyelitis of the talus should be considered in children and adolescents who present with ankle swelling and an antalgic gait. Level of Clinical Evidence: 4.
Authors:
Sagar Narang
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-09-03
Journal Detail:
Title:  The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons     Volume:  48     ISSN:  1542-2224     ISO Abbreviation:  J Foot Ankle Surg     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-10-27     Completed Date:  2010-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9308427     Medline TA:  J Foot Ankle Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  672-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, North Bengal Medical College and Hospital, Darjeeling, West Bengal, India. sagar_narang2001@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Chronic Disease
Debridement / methods*
Female
Follow-Up Studies
Gait / physiology*
Humans
Osteomyelitis / microbiology*,  physiopathology,  surgery
Pseudomonas Infections / microbiology*,  physiopathology,  surgery
Pseudomonas aeruginosa / isolation & purification*
Talus*

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


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