alexa Acute hematogenous osteomyelitis in intravenous drug users
Orthopaedics

Orthopaedics

Clinical Research on Foot & Ankle

Author(s): Ira M Fox, Kervin Brady

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The authors report a case of acute hematogenous osteomyelitis in a closed metatarsal fracture of an adult intravenous drug user. A transient Staphylococcus aureus bacteremia documented by blood cultures was sustained that presumably seeded the existing fracture. Osteomyelitis was documented by intraoperative cultures that matched the blood cultures and a Technetium-HMPAO-labeled leukocyte scan. Reliance on a noncompliant patient for information may have been a factor that resulted in significant morbidity in this case. Although the patient managed to do well after surgical intervention, osteomyelitis may have been avoidable. Treatment and a self-critical review of the approach to this patient population and decisions made in this case are also discussed.

This article was published in The Journal of Foot and Ankle Surgery and referenced in Clinical Research on Foot & Ankle

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