Brucella osteomyelitis of a closed femur fracture.
A 19-year-old man incurred a closed femoral fracture complicated by hematogenous dissemination of Brucella osteomyelitis. Repeated limited incision and drainage were ineffective in eradicating infection. Wide debridement, delayed wound closure, and vigorous antimicrobial therapy with streptomycin and tetracycline, along with cephalosporin for secondary staphylococcal infection, were necessary measures before the infection was eradicated. A constant awareness of brucella musculoskeletal infection is advisable when caring for patients frequently exposed to all kinds of livestock, including domesticated and wild animals.
D000328:Adult; D002003:Brucella abortus; D002006:Brucellosis / Q000209:etiology* / Q000628:therapy; D002511:Cephalosporins / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D004322:Drainage; D005264:Femoral Fractures / Q000150:complications*; D005596:Fractures, Closed / Q000150:complications; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000209:etiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000209:etiology / Q000628:therapy; D013307:Streptomycin / Q000627:therapeutic use; D013752:Tetracycline / Q000627:therapeutic use; D013997:Time Factors; D014946:Wound Infection / Q000209:etiology* / Q000628:therapy
D002511:Cephalosporins; D013752:Tetracycline; D013307:Streptomycin