Case Report
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Erişkin Bir Hastada Künt Travma Sonrası Pseudomonas Aeruginosa’ya Bağlı Kalkaneal Osteomiyelit

Year 2023, Volume: 8 Issue: 4, 67 - 69, 05.12.2023

Abstract

Penetran yaralanma olmaksızın sağlıklı bireylerde Pseudomonas aeruginosa’ ya bağlı kalkaneal osteomiyelit olgusu
nadirdir. Bu olgu bildirimde belirgin bir yaralanma öyküsü olmadan Pseudomonas aeruginosa’ya bağlı gelişen bir
kalkaneal osteomiyelit olgusu sunduk. Olguda, 30 yaşında erkek hasta bir haftadır sağ topuk ağrısı şikayeti ile ortopedi
polikliniğine başvurdu. Hastanın altı ay önce sağ ayağını yere vurma öyküsü mevcuttu. Sağ ayak bileği yan grafisinde
kalkaneusta litik lezyon izlendi. Doku biyopsi örneğinin mikrobiyolojik incelemesinde Pseudomonas aeruginosa üredi.
Antibiyotik duyarlılık sonuçlarına göre hastaya günde iki kez 500 mg siprofloksasin oral başlandı. Hastanın topuk ağrısı 10. günde düzeldi. Osteomiyelit bölgesinin devam etmesi nedeniyle hasta 3. ayın sonunda opere edildi.

References

  • 1. Öztuna V. Osteomiyelit Patofizyolojisi ve Tedavi Prensipleri. TOTBİD Dergisi. 2005;4(1–2):63–71.
  • 2. Ertürk C, Altay MA, Aşkar H. Osteomiyelitin farklı klinik şekilleri. TOTBİD Derg. 2011;10(3):225–32.
  • 3. Hoshina Y, Nakao H, Yoshida M, Kubota M, Ishiguro A. Calcaneal osteomyelitis caused by Pseudomonas aeruginosa without foot injury. Pediatr Int. 2021 May;63(5):601–2.
  • 4. Hatzenbuehler J, Pulling TJ. Diagnosis and management of osteomyelitis. Am Fam Physician. 2011 Nov 1;84(9):1027–33.
  • 5. Merlet A, Cazanave C, Dauchy FA, Dutronc H, Casoli V, Chauveaux D, et al. Prognostic factors of calcaneal osteomyelitis. Scand J Infect Dis. 2014 Aug;46(8):555–60.
  • 6. Sabater-Martos M, Sigmund IK, Loizou C, McNally M. Surgical treatment and outcomes of calcaneal osteomyelitis in adults: A systematic review. J Bone Jt Infect. 2019 May 21;4(3):146–54.
  • 7. Senneville E, Melliez H, Beltrand E, Legout L, Valette M, Cazaubiel M, et al. Culture of percutaneous bone biopsy specimens for diagnosis of diabetic foot osteomyelitis: concordance with ulcer swab cultures. Clin Infect Dis. 2006 Jan 1;42(1):57–62.
  • 8. McCann MJ, Wells A. Calcaneal Osteomyelitis: Current Treatment Concepts. Int J Low Extrem Wounds. 2020 Sep;19(3):230–5.

Calcaneal Osteomyelitis Caused By Pseudomonas Aeruginosa with Blunt Trauma in an Adult Patient

Year 2023, Volume: 8 Issue: 4, 67 - 69, 05.12.2023

Abstract

Pseudomonas aeruginosa-associated calcaneal osteomyelitis in a healthy individual without penetrating injury is rare.
Here, we presented a case of calcaneal osteomyelitis due to Pseudomonas aeruginosa without any apparent damage. A
30-year-old male patient visited the orthopedics outpatient clinic for a week due to right heel pain. The patient had a
history of hitting his right foot on the floor six months ago. On the lateral radiograph of the right ankle, a lytic lesion was
observed in the calcaneus. In the microbiological examination of the tissue biopsy sample, Pseudomonas aeruginosa
was grown. The antibiotic sensitivity results showed that the patient was started orally on 500 mg of ciprofloxacin twice
daily. The patient’s heel pain resolved on the 10th day. The patient was operated on at the end of the 3rd month because
the osteomyelitis area persisted.

References

  • 1. Öztuna V. Osteomiyelit Patofizyolojisi ve Tedavi Prensipleri. TOTBİD Dergisi. 2005;4(1–2):63–71.
  • 2. Ertürk C, Altay MA, Aşkar H. Osteomiyelitin farklı klinik şekilleri. TOTBİD Derg. 2011;10(3):225–32.
  • 3. Hoshina Y, Nakao H, Yoshida M, Kubota M, Ishiguro A. Calcaneal osteomyelitis caused by Pseudomonas aeruginosa without foot injury. Pediatr Int. 2021 May;63(5):601–2.
  • 4. Hatzenbuehler J, Pulling TJ. Diagnosis and management of osteomyelitis. Am Fam Physician. 2011 Nov 1;84(9):1027–33.
  • 5. Merlet A, Cazanave C, Dauchy FA, Dutronc H, Casoli V, Chauveaux D, et al. Prognostic factors of calcaneal osteomyelitis. Scand J Infect Dis. 2014 Aug;46(8):555–60.
  • 6. Sabater-Martos M, Sigmund IK, Loizou C, McNally M. Surgical treatment and outcomes of calcaneal osteomyelitis in adults: A systematic review. J Bone Jt Infect. 2019 May 21;4(3):146–54.
  • 7. Senneville E, Melliez H, Beltrand E, Legout L, Valette M, Cazaubiel M, et al. Culture of percutaneous bone biopsy specimens for diagnosis of diabetic foot osteomyelitis: concordance with ulcer swab cultures. Clin Infect Dis. 2006 Jan 1;42(1):57–62.
  • 8. McCann MJ, Wells A. Calcaneal Osteomyelitis: Current Treatment Concepts. Int J Low Extrem Wounds. 2020 Sep;19(3):230–5.
There are 8 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Olgu Sunumu
Authors

Mustafa Cihangiroğlu 0000-0001-6148-5142

Ayşin Kılınç Toker 0000-0002-6775-1234

İhami Çelik 0000-0002-2604-3776

Publication Date December 5, 2023
Acceptance Date October 31, 2023
Published in Issue Year 2023 Volume: 8 Issue: 4

Cite

Vancouver Cihangiroğlu M, Kılınç Toker A, Çelik İ. Calcaneal Osteomyelitis Caused By Pseudomonas Aeruginosa with Blunt Trauma in an Adult Patient. JAMER. 2023;8(4):67-9.