Osteomyelitis in a patient with a chronically infected arterial graft and longstanding hypertrophic osteoarthropathy of the leg.
A patient is reported with hypertrophic osteoarthropathy of the right leg who developed an osteomyelitis; this appeared to be related to an infected aortic bifurcation prosthesis with increased uptake on leukocyte scan and chronic gas formation at the proximal aortic anastomosis on computed tomography. There have been previous reports of hypertrophic osteoarthropathy as a sign of arterial prosthesis infection. In this patient antibiotic therapy was successful in controlling the osteomyelitis but eradication of the arterial prosthesis infection could not be confirmed and an elective arterial operation involved too great a risk.
Maertens
M
M
Department of Rheumatology, Ghent University Hospital, Belgium.
Veys
E M
EM
Mielants
H
H
D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D003023:Cloxacillin / Q000627:therapeutic use; D006801:Humans; D007866:Leg; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D010004:Osteoarthropathy, Primary Hypertrophic / Q000150:complications*; D010019:Osteomyelitis / Q000188:drug therapy / Q000209:etiology*; D016459:Prosthesis-Related Infections / Q000150:complications*
D008795:Metronidazole; D003023:Cloxacillin