Long Bone Bacteroides fragilis Osteomyelitis: a Case Report
| Autor: | Ioannis S. Benetos, Vasileios Marougklianis, Meletis Rozis, Aristeidis Koutsopoulos, Spyros G. Pneumaticos, Michail Vavourakis |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Debridement biology business.industry medicine.medical_treatment Osteomyelitis Long bone medicine.disease biology.organism_classification Surgery medicine.anatomical_structure Staphylococcus epidermidis Orthopedic surgery medicine Vertebral osteomyelitis Septic arthritis Bacteroides fragilis business |
| Zdroj: | SN Comprehensive Clinical Medicine. 3:2680-2687 |
| ISSN: | 2523-8973 |
| DOI: | 10.1007/s42399-021-01028-6 |
| Popis: | Chronic long bone osteomyelitis is a challenging condition to handle. Despite not commonly isolated, anaerobes also have this infectious potential. Bacteroides fragilis is a known anaerobic bacterium causing intraabdominal infections with remote vertebral osteomyelitis cases and knee septic arthritis rarely reported in the literature. We aim to report a rare long bone infection due to B. fragilis, a relatively uncommon bacterium in the everyday orthopedic practice. A patient with a gunshot trauma 21 years ago, treated with knee fusion, was admitted due to chronic osteomyelitis. Debridement cultures were positive for Staphylococcus epidermidis and B. fragilis. The patient was empirically treated as no anaerobe sensitivity testing could be provided. Finally, the patient was amputated due to local squamous cell carcinoma. To our knowledge, there are no reports of B. fragilis isolation in cultures obtained from long bone tissues. In this article, we underline the particularity in managing anaerobe long bone osteomyelitis, as it remains a rare entity. |
| Databáze: | OpenAIRE |
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