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Case Report

Hematogenous Osteomyelitis in an Adult: From Axilla to Metatarsal-A Case Report

Christopher R Hood JR1* and David E Samuel2
1Pennsylvania Intensive Lower Extremity Fellowship, Premier Orthopaedics and Sports Medicine, Malvern, PA, USA
2Foot and Ankle Specialists of Delaware County, LLC, Springfield, PA, USA
Corresponding Author : Christopher R Hood JR
Pennsylvania Intensive Lower Extremity Fellowship
Premier Orthopaedics and Sports Medicine, Malvern, 266 W Lancaster Avenue
Suite 200, Malvern, PA 19355, USA
Tel: 610-644-6900
Fax: 610-644-7160
E-mail: crhoodjr12@gmail.com
Received date: January 19, 2016; Accepted date: March 13, 2016; Published date: March 19, 2016
Citation: Christopher R Hood JR, E Samuel D (2016) Hematogenous Osteomyelitis in an Adult: From Axilla to Metatarsal-A Case Report. Clin Res Foot Ankle 4:185. doi:10.4172/2329-910X.1000185
Copyright: © 2016 Christopher R Hood JR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Hematogenous osteomyelitis is an uncommon and often challenging etiology to diagnose and treat. This pathology has a bimodal population spread between children and adults, the former making up majority of the cases. Each population has its own challenges in diagnosis and treatment with specific characteristics found been children and adult hematogenous osteomyelitis. In the adult population, bacterial seeding to the distal extremities is rare. Often the inciting event is traumatic in nature with direct seeding. However, in this paper the authors describe their experience with acute hematogenous osteomyelitis of the forth metatarsal in an adult female who just months before was treated for an axillary abscess. Further, diagnostic criteria from physical exam to laboratory and imaging studies, as well as treatments are discussed.

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