Recurrent osteomyelitis caused by infection with different bacterial strains without obvious source of reinfection.
Recurrence of osteomyelitis by the same bacterial strain is well known. We report three patients with a second episode of osteomyelitis at the same site caused by different strains of bacteria from the original. Formerly infected and altered bone surface might present a region of diminished resistance for a new infection.
Uçkay
Ilker
I
Division of Infectious Diseases, Geneva University Hospital, Switzerland.
Assal
Mathieu
M
Legout
Laurence
L
Rohner
Peter
P
Stern
Richard
R
Lew
Daniel
D
Hoffmeyer
Pierre
P
Bernard
Louis
L
D000328:Adult; D001424:Bacterial Infections / Q000382:microbiology*; D016972:Enterobacter cloacae / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000382:microbiology; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D010019:Osteomyelitis / Q000382:microbiology*; D011552:Pseudomonas Infections / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D012008:Recurrence; D013203:Staphylococcal Infections / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification