Author(s): Watson FM, Whitesides TE
Five cases of acute hematogenous osteomyelitis occurring at the site of closed fractures are reported. This is a serious and potentially lethal complication resulting in directly in the death of 3 of the 5 patients. This is an unusual occurrence seen infrequently, and subsequent delay in diagnosis is frequent. An awareness of this complication (which usually occurs in the face of decreased resistance to infection) coupled with careful inspection of the fracture site, evaluation of the patient as a whole, and a high index of suspicion will allow earlier diagnosis and possibly more successful early treatment. Because of the pathophysiology of this lesion and the usual delay in diagnosis, initial treatment should include wide surgical drainage of the abscess with proper debridement and bony resection. This may involve procedures which at first glance may appear to be mutilating. In these patients with decreased resistance to infection, the initial appropriate choice of antibiotics is essential.
Referred From: https://pubmed.ncbi.nlm.nih.gov/1277679/
Author(s): Kumar V, Abbas AK, Aster JC
Author(s): Whyte NS, Bielski RJ
Author(s): Kumar V, Abbas AK, Aster JC
Author(s): Blickman JG, van Die CE, de Rooy JW
Author(s): Beck-Broichsitter BE, Smeets R, Heiland M
Author(s): Funk SS, Copley LA
Author(s): Carek PJ, Dickerson LM, Sack JL
Author(s): Labianca L, Montanaro A, Turturro F, Calderaro C, Ferretti A
Author(s): Ebong WW
Author(s): Veranis N, Laliotis N, Vlachos E
Author(s): Govender S, Charles RW, Ballaram RS, Achary DM
Author(s): Canale ST, Puhl J, Watson FM, Gillespie R
Author(s): Hardy AE, Nicol RO
Author(s): Marshman LA, Allison D, Molloy CJ
Author(s): Dunsmuir RA, Barnes SJ, McGarrity G
Author(s): Fellmeth BD, DaSilva RM, Spengler DM
Author(s): Aalami HB
Author(s): COZEN L
Author(s): Cuschieri J, Kralovich KA, Patton JH, Horst HM, Obeid FN, et al.
Author(s): Stevens QE, Seibly JM, Chen YH, Dickerman RD, Noel J, et al.
Author(s): Milgram JW, Romine JS
Author(s): Sefton GK
Author(s): Nade S
Author(s): Shehab D1, Elgazzar AH, Collier BD
Author(s): Jensen LL1, Halar E, Little JW, Brooke MM
Author(s): Rossier AB, Bussat P, Infante F, Zender R, Courvoisier B, et al.
Author(s): Chantraine A, Minaire P