Acute osteomyelitis of the humerus mimicking malignancy: Streptococcus pneumoniae as exceptional pathogen in an immunocompetent adult.

Abstract:

BACKGROUND:Chronic osteomyelitis due to direct bone trauma or vascular insufficiency is a frequent problem in orthopaedic surgery. In contrast, acute haematogenous osteomyelitis represents a rare entity that almost exclusively affects prepubescent children or immunodeficient adults. CASE PRESENTATION:In this article, we report the case of acute pneumococcal osteomyelitis of the humerus in an immunocompetent and otherwise healthy 44-year-old male patient presenting with minor inflammation signs and misleading clinical features. CONCLUSIONS:The diagnosis had to be confirmed by open biopsy which allowed the initiation of a targeted therapy. A case of pneumococcal osteomyelitis of a long bone, lacking predisposing factors or trauma, is unique in adults and has not been reported previously.

journal_name

BMC Infect Dis

journal_title

BMC infectious diseases

authors

Prodinger PM,Pilge H,Banke IJ,Bürklein D,Gradinger R,Miethke T,Holzapfel BM

doi

10.1186/1471-2334-13-266

subject

Has Abstract

pub_date

2013-06-05 00:00:00

pages

266

issn

1471-2334

pii

1471-2334-13-266

journal_volume

13

pub_type

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