Rare Case Of Osteomyelitis Research Articles

Cryptococcal Osteomyelitis in an Immune-Competent Host: a Case Report

We report a rare case of osteomyelitis due to Cryptococcus neoformans var. grubii in a non-immunosuppressed patient. The epidemiology, symptoms, diagnostics and treatment are discussed. The case illustrates the complexity of differential diagnosis of osteomyelitis.

Rehabilitation of a complete maxillectomy patient: A case report of osteomyelitis of maxilla

Osteomyelitis of the jaws is osteomyelitis (which is inflammation of the bone marrow, sometimes abbreviated to OM) which occurs in the bones of the jaws (i.e. maxilla or the mandible). Historically, osteomyelitis of the jaws was a common complication of odontogenic infection (infections of the teeth). Before the antibiotic era, it was frequently a fatal condition. Today osteomyelitis of facial bones is a rare condition. Maxillary osteomyelitis is rare compared to mandible osteomyelitis because extensive blood supply & strut like bone of the maxilla make it less prone to chronic infection. We report a rare case of Osteomyelitis involving whole of the Maxilla in a 63 year old male patient, diabetic and hypertensive for the past 2 years. He presented to us with anpalatally exposed bone with offensive odour from the nose. Examination revealed a necrotic maxilla involving whole hard palate. A computerized tomography scan confirmed Osteomyelitis of whole Maxilla. Patient underwent complete surgical excision with prosthesis reconstruction. Prosthetic rehabilitation of patients with acquired defects of the maxilla present a challenging task because of inadequate retention and stability of prosthesis and these goals are even more challenging in a complete maxillectomy case. This case report describes the fabrication of prosthesis utilizing soft tissue undercuts for retention using soft liners as one technique and fabrication of a two piece prosthesis utilizing magnets to meet the goals.

Osteomyelitis of the Foot-Report of An Unusual Clinical Presentation of Salmonella Group C Infection

Localized tissue infection induced by Salmonella has been rarely described in humans. Staphylococcus aureus and coagulase negative Staphylococcus species are the most commonly isolated pathogens in long bone osteomyelitis. Osteomyelitis induced by Salmonella species was less common in the literature. We reported a rare case of osteomyelitis of tarsus caused by Salmonella group C who was treated successfully with surgical debridement and antibiotics. In conclusion, a structured thinking is important for a localized wound, not only for diagnosis but also for treatment. A localized wound may be a presentation of systemic infection. Adequate drainage, thorough debridement, dead space management, wound protection, and a 6-week period of specific antimicrobial coverage are still useful principle in facing specific soft tissue infection or osteomyelitis.

A rare case of osteomyelitis caused by Echinococcus alveolaris

Istanbul Universitesi Istanbul Tip Fakultesi Ortopedi ve Travmatoloji Anabilim Dali Echinococcus alveolaris is a genus of tapeworm that causes alveolar echinococcosis. The liver is the most commonly (90%) involved site, but other visceral organs may be involved as well. Skeletal involvement is less and E. alveolaris osteomyelitis is rarely reported. This case report presents a 28-year-old male patient with fatal metastasizing chronic E. alveolaris osteomyelitis at the distal end of his right femur which was resistant to multiple surgical procedures and medical therapy. Years after this initial lesion, fatal brain metastasis was encountered. As this disease may follow a course similar to that of a malignant tumor, it is essential to obtain safe wide margins during surgery to rule out recurrences. The disease, along with its clinical and radiologic aspects, merits a comprehensive insight with regard to principles of diagnosis and treatment.