Aetiology and management of chronic granulomatous osteomyelitis: look before you leap.
We report a rare difficult-to-manage case of chronic granulomatous osteomyelitis due to Burkholderia pseudomallei, the category two organism with atypical sensitivity pattern. The patient was a 29-year-old who presented with a history of dull aching pain in the left thigh region for one year. Local examination revealed a diffuse swelling and tenderness. Any similar presentation should therefore always be supported by microbiological opinion to prevent prolonged morbidity, especially in immunocompromised patients.
Mukhopadhyay
C
C
Department of Microbiology, Kasturba Medical College, Manipal 576104, Karnataka, India.
Dey
A
A
Sugandhi Rao
P
P
Pandey
V
V
Sripathi Rao
P
P
D000328:Adult; D016957:Burkholderia pseudomallei; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005269:Femur / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D008297:Male; D008554:Melioidosis / Q000188:drug therapy / Q000382:microbiology*; D010019:Osteomyelitis / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography