Polymicrobial Infection as a Rare Cause of Osteomyelitis: Case Presentation and Review of the Literature

Polymicrobial Infection as a Rare Cause of Osteomyelitis: Case Presentation and Review of the Literature

Author Info

Corresponding Author
Mohs Elisabeth
Orthopaedic and Trauma Surgery Centre, University Hospital Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany

A B S T R A C T

This case report presents a 48-year-old patient with suspicion for chronic osteomyelitis caused by oral pathogens including species of Actinomyces, Eikenella and Stenotrophomonas. The symptoms included progressive swelling of the right thigh and hyperpyrexia with up to 41°C. Imaging methods included standard X-ray as well as MRI. Furthermore, two operations were necessary for surgical infection therapy. Histological and microbiological investigations of intraoperative samples showed polymicrobial osteomyelitis. Since local trauma could be excluded as the cause for the disease, the patient’s dental status was evaluated and proved as the possible infectious focus with a hematogenous spread. The patient was treated with intravenous antibiotics for two weeks and oral antibiotics for four further weeks. The patient’s clinical condition drastically improved with that treatment.

Article Info

Article Type
Case Report and Review of the Literature
Publication history
Received: Tue 09, Feb 2021
Accepted: Tue 23, Feb 2021
Published: Mon 22, Mar 2021
Copyright
© 2023 Mohs Elisabeth. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.03.08