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Silent chronic osteomyelitis lasting for 30 years before outburst of symptoms
Sufian S Ahmad1, Sandro Kohl, Dimitrios Stergios Evangelopoulos
1Department of Orthopaedic Surgery, University of Bern, Bern, Switzerland.
Abstract:
A 56-year-old male patient presented with left knee and thigh pain after suffering a knee contusion. History revealed a complex fracture of the distal femur 30 years prior to presentation. Initial blood tests upon admission showed elevated C reactive protein values. Subsequent imaging and biopsies showed a correlate to osteomyelitis, upon which the diagnosis of a late onset osteomyelitis as an outburst of silent chronic osteomyelitis was made. The patient was successfully treated surgically by means of aggressive debridement and discharged after confirmation of negative biopsies.
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