Intramedullary Antibiotic Delivery for Emphysematous Osteomyelitis of the Femur
| Autor: | Madelyn F Lauer, Jonathan Dubin, Emily N Boschert, Mark Bernhardt |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Tazobactam
medicine.medical_specialty Bone Nails law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine law Prednisone Escherichia coli medicine Humans Orthopedics and Sports Medicine Femur 030212 general & internal medicine Escherichia coli Infections Emphysema Piperacillin 030222 orthopedics business.industry Osteomyelitis Bone Cements Surgical debridement Middle Aged medicine.disease Anti-Bacterial Agents Surgery Rheumatoid arthritis Antibiotic delivery Orthopedic surgery Female business medicine.drug |
| Zdroj: | Orthopedics. 42 |
| ISSN: | 1938-2367 0147-7447 |
| DOI: | 10.3928/01477447-20181023-08 |
| Popis: | The authors present a case of bilateral femoral emphysematous osteomyelitis caused by Escherichia coli in a 60-year-old woman with rheumatoid arthritis who was receiving long-term prednisone therapy. The infection in both femoral shafts was eradicated with surgical debridement, followed by insertion of intramedullary rods composed of culture-specific antibiotic cement into the femoral canals in conjunction with 6 weeks of intravenous antibiotics. The rods were subsequently removed, and no signs of further osteomyelitis were recognized at follow-up. To the authors' knowledge, this is the first case of its kind reported in the orthopedic literature. Emphysematous osteomyelitis, a rare and dangerous entity, can be successfully managed by intramedullary antibiotic delivery in the subacute setting. [ Orthopedics . 2019; 42(1):e128–e130.] |
| Databáze: | OpenAIRE |
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