title: Anaerobic osteomyelitis of femoral head with intraosseous, intra-articular, bursal and muscle pneumatosis.
abstract: A case is presented of anaerobic osteomyelitis with intraosseous pneumatosis resulting in extension of gas in soft tissue structures and femur in a patient with mitral valve vegetation and bacteremia. The finding of intraosseous pneumatosis and its extension into the hip joint, iliopsoas bursa and subgluteus medius bursa is depicted. Intraosseous pneumatosis is a rare but concerning finding for osteomyelitis in the absence of a penetrating wound, recent surgery, biopsy or fracture.
authors.affiliation: Department of Orthopaedic Surgery, Medical College of Virginia Hospital, Virginia Commonwealth University, PO Box 980257, Richmond, VA 23298-0615, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Potocki
authors.forename: Shaifali
authors.initials: S
authors.lastname: Kaushik
authors.forename: Jose L
authors.initials: JL
authors.lastname: Mira
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001442:Bacteroides Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D003131:Combined Modality Therapy; D003646:Debridement; D004359:Drug Therapy, Combination; D005270:Femur Head / Q000000981:diagnostic imaging* / Q000382:microbiology; D005740:Gases; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D005740:Gases