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Hemipelvic osteomyelitis in a hemodialysis patient associated with methicillin-resistant Staphylococcus aureus bacteremia.

Patzkowski JC, Hurst FP, Neff RT, Abbott KC - Int J Nephrol Renovasc Dis (2008)

Bottom Line: Proper management of infected tunneled-cuffed catheters (TCC) is essential in order to avoid catastrophic consequences for the patient.Hematogenous dissemination of infection can result in serious secondary infections, including infective endocarditis, osteomyelitis, and epidural abscess.Pelvic osteomyelitis is an extremely rare condition in adults with no reported cases of infection localized to more than one pelvic bone at a time.

View Article: PubMed Central - PubMed

Affiliation: Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine, Bethesda, MD, USA;

ABSTRACT
Proper management of infected tunneled-cuffed catheters (TCC) is essential in order to avoid catastrophic consequences for the patient. Hematogenous dissemination of infection can result in serious secondary infections, including infective endocarditis, osteomyelitis, and epidural abscess. Pelvic osteomyelitis is an extremely rare condition in adults with no reported cases of infection localized to more than one pelvic bone at a time. We present a case of a hemodialysis patient who developed osteomyelitis of the entire right hemipelvis due to MRSA bacteremia after repeated attempts at TCC salvage.

No MeSH data available.


Related in: MedlinePlus

Pelvic radiograph. This pre-treatment radiograph demonstrates a diffuse lytic process within the right iliac wing extending into the acetabulum and right pubic rami.
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f1-ijnrd_01_01: Pelvic radiograph. This pre-treatment radiograph demonstrates a diffuse lytic process within the right iliac wing extending into the acetabulum and right pubic rami.

Mentions: On arrival at our institution, the neurosurgery department was consulted to assess his pain and weakness and to evaluate for epidural abscess given the known disk herniation in the setting of bacteremia. They concluded that the disc herniation was an incidental finding unrelated to his presentation. Concomitant radiographs (Figure 1A), computed tomography (Figure 1B), and magnetic resonance imaging (MRI) demonstrated gross osteomyelitis and pyoarthrosis involving the right ilium, acetabulum, pubis, and ischium with severe edema and multiple abscesses throughout the soft tissue with no involvement of the left hemipelvis or sacroiliac joints.


Hemipelvic osteomyelitis in a hemodialysis patient associated with methicillin-resistant Staphylococcus aureus bacteremia.

Patzkowski JC, Hurst FP, Neff RT, Abbott KC - Int J Nephrol Renovasc Dis (2008)

Pelvic radiograph. This pre-treatment radiograph demonstrates a diffuse lytic process within the right iliac wing extending into the acetabulum and right pubic rami.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3108757&req=5

f1-ijnrd_01_01: Pelvic radiograph. This pre-treatment radiograph demonstrates a diffuse lytic process within the right iliac wing extending into the acetabulum and right pubic rami.
Mentions: On arrival at our institution, the neurosurgery department was consulted to assess his pain and weakness and to evaluate for epidural abscess given the known disk herniation in the setting of bacteremia. They concluded that the disc herniation was an incidental finding unrelated to his presentation. Concomitant radiographs (Figure 1A), computed tomography (Figure 1B), and magnetic resonance imaging (MRI) demonstrated gross osteomyelitis and pyoarthrosis involving the right ilium, acetabulum, pubis, and ischium with severe edema and multiple abscesses throughout the soft tissue with no involvement of the left hemipelvis or sacroiliac joints.

Bottom Line: Proper management of infected tunneled-cuffed catheters (TCC) is essential in order to avoid catastrophic consequences for the patient.Hematogenous dissemination of infection can result in serious secondary infections, including infective endocarditis, osteomyelitis, and epidural abscess.Pelvic osteomyelitis is an extremely rare condition in adults with no reported cases of infection localized to more than one pelvic bone at a time.

View Article: PubMed Central - PubMed

Affiliation: Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine, Bethesda, MD, USA;

ABSTRACT
Proper management of infected tunneled-cuffed catheters (TCC) is essential in order to avoid catastrophic consequences for the patient. Hematogenous dissemination of infection can result in serious secondary infections, including infective endocarditis, osteomyelitis, and epidural abscess. Pelvic osteomyelitis is an extremely rare condition in adults with no reported cases of infection localized to more than one pelvic bone at a time. We present a case of a hemodialysis patient who developed osteomyelitis of the entire right hemipelvis due to MRSA bacteremia after repeated attempts at TCC salvage.

No MeSH data available.


Related in: MedlinePlus