[Tibial osteitis caused by Pantoea agglomerans after open grade IIIB tibial shaft fracture].
Bone infection is not an uncommon complication of open tibial shaft fractures. We report an unusual case of chronic tibial osteitis caused by Pantoea agglomerans after an open grade IIIB tibial shaft fracture. P. agglomerans, an enterobacteria, was identified on bone samples obtained nine months after the fracture. The infection probably resulted from the initial soil contamination and developed despite fixation and bone covering with a muscle flap performed during the same operative time and adapted intravenous antibiotics.
Laporte
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C
Service de Chirurgie Orthopédique et Traumatologique, Hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France.
Demachy
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MC
Thevenin-Lemoine
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C
D000063:Accidents, Traffic; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005593:Fracture Fixation, Internal; D005597:Fractures, Open / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D010000:Osteitis / Q000175:diagnosis / Q000209:etiology*; D020636:Pantoea; D011859:Radiography; D012988:Soil Microbiology; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy
D000900:Anti-Bacterial Agents