Intracortical haematogenous osteomyelitis

Jowett, A. J. L.; Middleton, S. W. F.; Quaye, M. C.; Chesterfield, H.; Lasrado, I.; Witham, F. M.
February 2014
Bulletin of The Royal College of Surgeons of England;Feb2014, Vol. 96 Issue 2, pe13
Case Study
We present an unusual case of haematogenous osteomyelitis in the diaphysis of the tibia of an adult leading to a subacute presentation with an extracortical abscess. Fluid from the abscess grew methicillin resistant Staphylococcus aureus (MRSA) culture; MRSA with the same antibiogram had been grown from the patient's blood seven years earlier following a bowel resection. Drainage of the abscess and curettage of the bone lesion together with appropriate antibiotic therapy led to resolution the osteomyelitis.


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