Acute haematogenous osteomyelitis: an unusual complication following a closed fracture of the femur in a child.
We report a rare case of an acute haematogenous osteomyelitis of the femur in a five-year-old boy following a closed fracture of the femur. Because of its rare occurrence, the diagnosis of osteomyelitis was missed initially. He presented with a groin abscess seven weeks after injury. He was treated with external fixation, repeated debridements and intravenous antibiotics. Culture grew Staphylococcus aureus. The latest follow-up one-year after the injury showed resolution of the infection and union of the fracture. The range of knee movement is limited from 0-90 degrees due to quadriceps contracture.
Baharuddin
M
M
Department of Orthopaedics, Hospital Seremban, Negeri Sembilan, Kuala Lumpur.
Sharaf
I
I
D000208:Acute Disease; D002675:Child, Preschool; D005264:Femoral Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D005269:Femur / Q000098:blood supply; D005596:Fractures, Closed / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000382:microbiology; D011859:Radiography