title: Escherichia coli osteomyelitis of the ischium in an adult.
abstract: Osteomyelites, bone infections of a hematogenous origin, are rare in the pelvis (2.3%) and are extremely rare in the ischium. Ischiatic osteomyelitis is usually found in children and adolescents, but has rarely been described in adults. The clinical presentation varies and the diagnosis is based on magnetic resonance imaging (MRI). The most frequently isolated germ is the staphylococcus, while Escherichia coli has been found in a few cases. We report a case of osteomyelitis from E. coli in a 46-year-old woman revealed by persistent fever. The point of entry was a septicemia from gastrointestinal origin, related to colon polyps. The clinical picture was also complicated by an antiphospholipid antibody syndrome (superior mesenteric vein and splenomesenteric branch thrombosis). The course was favorable thanks to appropriate antibiotic treatment and surgical debridment of the infection.
authors: Internal Medecine Department, Fattouma Bourguiba Hospital, Monastir, Tunisia. hamzaoui.amira@yahoo.fr
authors: Amira
authors: A
authors: Hamzaoui
authors: Randa
authors: R
authors: Salem
authors: Mustapha
authors: M
authors: Koubaa
authors: Makram
authors: M
authors: Zrig
authors: Hichem
authors: H
authors: Mnif
authors: Abderazek
authors: A
authors: Abid
authors: Mondher
authors: M
authors: Golli
authors: Silvia
authors: S
authors: Mahjoub
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy / Q000379:methods; D003646:Debridement / Q000379:methods; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007512:Ischium; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents