[Hematogenous sternal osteomyelitis and community acquired pneumonia in a methicillin-susceptible Staphilococcus aureus sepsis].
We report here a case of primary haematogenous osteomyelitis diagnosed in a young mild asthmatic male with immunocompetence. A hard job worked as trigger of the septic picture from a forunculosis lesion located on the abdominal wall. Meticilin-susceptible Staphylococcus aureus was isolated from blood cultures and from sternal aspiration liquid. Two months after clinical onset Ig G 4 elevation was achieved at the immunodeficiency screening. Stafilococycal lung CT images accompanied to the septic course. Intravenous cloxacilin and gentamycin treatment followed by oral rifampicin and levofloxacin achieved a total recovery.
Tordecilla Echenique
Y
Y
Servicio de Medicina Interna. Hospital Universitario Virgen Macarena. Sevilla, Spain.
Salamanca Bautista
M P
MP
Arias Jiménez
J L
JL
Guisado Espartero
E
E
Ortega Calvo
M
M
Pérez Cano
R
R
D000328:Adult; D001249:Asthma; D006801:Humans; D007121:Immunocompetence; D008297:Male; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D011023:Pneumonia, Staphylococcal / Q000175:diagnosis* / Q000188:drug therapy; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013249:Sternum