title: Recurrent osteomyelitis caused by infection with different bacterial strains without obvious source of reinfection.
abstract: 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.
authors.affiliation: Division of Infectious Diseases, Geneva University Hospital, Switzerland.
authors.forename: Ilker
authors.initials: I
authors.lastname: Uçkay
authors.forename: Mathieu
authors.initials: M
authors.lastname: Assal
authors.forename: Laurence
authors.initials: L
authors.lastname: Legout
authors.forename: Peter
authors.initials: P
authors.lastname: Rohner
authors.forename: Richard
authors.initials: R
authors.lastname: Stern
authors.forename: Daniel
authors.initials: D
authors.lastname: Lew
authors.forename: Pierre
authors.initials: P
authors.lastname: Hoffmeyer
authors.forename: Louis
authors.initials: L
authors.lastname: Bernard
mesh_terms: 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