Intracortical haematogenous osteomyelitis.
We present an unusual case of haematogenous osteomyelitis in the diaphysis of the tibia of an adult leading to a subacute presentation with an extracortical abscess. Fluid from the abscess grew methicillin resistant Staphylococcus aureus (MRSA) on culture; MRSA with the same antibiogram had been grown from the patient's blood seven years earlier following a bowel resection. Drainage of the abscess and curettage of the bone lesion together with appropriate antibiotic therapy led to resolution of the osteomyelitis.
Portsmouth Hospitals NHS Trust, UK.
A J L
AJ
Jowett
S W F
SW
Middleton
M C
MC
Quaye
H
H
Chesterfield
I
I
Lasrado
F M
FM
Witham
D000038:Abscess / Q000473:pathology / Q000601:surgery*; D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D059352:Musculoskeletal Pain / Q000382:microbiology; D010019:Osteomyelitis / Q000473:pathology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000473:pathology / Q000601:surgery*; D013977:Tibia