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Published on: April 20, 2021
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Emphysematous Osteomyelitis due to Escherichia coli
Jinhee Lee1, Chai Ho Jeong1, Myun Hee Lee1
1Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea.
Infection & Chemotherapy
|March 9, 2017
Summary
Emphysematous osteomyelitis is rare, particularly in the extra-axial skeleton. This case highlights successful treatment with surgery and antibiotics for sternum, clavicle, and pelvic bone infection.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Radiology
Background:
- Emphysematous osteomyelitis is a rare and severe infection, often linked to high morbidity and mortality.
- Involvement of the extra-axial skeleton presents unique diagnostic and therapeutic challenges.
Observation:
- A 58-year-old female with diabetes mellitus presented with severe emphysematous osteomyelitis.
- The infection involved the sternum, clavicle, and pelvic bone, caused by Escherichia coli.
- The source of infection was a hematogenous spread from a urinary tract infection.
Findings:
- The patient underwent urgent and aggressive surgical drainage.
- Prolonged antibiotic therapy was administered.
- Successful treatment outcomes were achieved.
Implications:
- Early diagnosis and prompt surgical intervention are critical for managing emphysematous osteomyelitis.
- This case underscores the importance of considering emphysematous osteomyelitis in patients with diabetes and severe infections.
- Aggressive management strategies can lead to favorable outcomes even in complex cases.
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