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Pasteurella abscess in tibial regenerate bone: a case report.
Katharine Thomason1, Amanda Shepherd, Keith S Eyres
1Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, Devon, UK.
Journal of Pediatric Orthopedics. Part B
|May 28, 2009
Summary
Superficial pin tract infections are common in limb lengthening, but deep infections like osteomyelitis are rare. This case highlights a latent abscess caused by Pasteurella, an unusual pathogen in bone infections.
Area of Science:
- Orthopedics
- Infectious Diseases
- Microbiology
Background:
- Superficial pin tract infections are frequent complications of limb lengthening procedures.
- Deep infections, including osteomyelitis and abscess formation, are less common but more severe.
- Prompt diagnosis and treatment are crucial for managing deep bone infections.
Observation:
- A 10-year-old boy developed a latent abscess at a tibial lengthening site.
- The infection was caused by Pasteurella, a bacterium rarely associated with bone infections.
- The abscess presented late, appearing in previously well-healed bone.
Findings:
- This is the first reported case of Pasteurella-induced abscess formation within regenerate bone.
- The unusual bacterial cause and late presentation highlight diagnostic challenges.
- The infection required surgical intervention, including washout and curettage.
Implications:
- This case expands the spectrum of pathogens causing bone infections after limb lengthening.
- It underscores the importance of considering rare bacterial agents in refractory or atypical infections.
- Further research may be needed to understand Pasteurella's role in orthopedic infections.
