title: Superinfection of chronic multifocal osteomyelitis with Enterobacter cloacae.
abstract: A case is presented of a 6-year-old boy from Nigeria who developed chronic multifocal osteomyelitis with bilateral and symmetrical proximal humeral involvement. Superimposed changes of acute osteomyelitis were noted on the histopathological evaluation of the lesions. Cultures from both sides were positive for Enterobacter cloacae, which was presumably contracted during intravenous therapy for typhoid fever in Nigeria 1 month prior to his presentation.
authors.affiliation: Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, Texas, USA.
authors.forename: Spiros G
authors.initials: SG
authors.lastname: Pneumaticos
authors.forename: Sofia N
authors.initials: SN
authors.lastname: Chatziioannou
authors.forename: Ronald W
authors.initials: RW
authors.lastname: Lindsey
mesh_terms: D002648:Child; D002908:Chronic Disease; D016972:Enterobacter cloacae; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D006811:Humerus; D008279:Magnetic Resonance Imaging; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D015163:Superinfection / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology