title: Nocardia osteomyelitis: a rare complication after intramedullary nailing of a closed tibial shaft fracture.
abstract: Posttraumatic osteomyelitis of the tibia represents a major therapeutic challenge and continues to be associated with poor outcomes. In this article, we report on the successful management of a rare case of a Nocardia osteomyelitis of the tibial shaft secondary to intramedullary nailing of a closed fracture in a 19-year-old immunocompetent patient. In addition, we provide a review of the literature in the field and discuss optimized treatment strategies.
authors.affiliation: Department of Orthopedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO 80204, USA.
authors.forename: Todd
authors.initials: T
authors.lastname: Vander Heiden
authors.forename: Philip F
authors.initials: PF
authors.lastname: Stahel
authors.forename: Sarah
authors.initials: S
authors.lastname: Clutter
authors.forename: Connie
authors.initials: C
authors.lastname: Price
authors.forename: Steven L
authors.initials: SL
authors.lastname: Peterson
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Morgan
mesh_terms: D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000175:diagnosis* / Q000209:etiology*; D010019:Osteomyelitis / Q000175:diagnosis* / Q000209:etiology*; D035583:Rare Diseases / Q000175:diagnosis / Q000209:etiology; D013978:Tibial Fractures / Q000150:complications* / Q000601:surgery*; D055815:Young Adult