A Rare Case of Osteomyelitis Caused by Haemophilus Parainfluenzae

Fernando Cobo1, Gemma Jiménez1, Javier Rodríguez-Granger1

  • 1Department of Microbiology, Hospital Virgen de las Nieves.

Insights

Haemophilus parainfluenzae rarely causes bone infections. This case details calcaneal osteomyelitis caused by H. parainfluenzae, successfully treated with surgery and antibiotics.

Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Microbiology

Background:

  • Haemophilus parainfluenzae is an uncommon pathogen in bone and joint infections.
  • Osteomyelitis, particularly of the calcaneus, requires prompt diagnosis and treatment.

Purpose of the Study:

  • To report a rare case of calcaneal osteomyelitis caused by Haemophilus parainfluenzae.
  • To review previously published cases of H. parainfluenzae bone infections.

Main Methods:

  • A 23-year-old female patient presented with calcaneal pain and inflammation.
  • Computed tomography (CT) confirmed suspected osteomyelitis.
  • Bone biopsies and tissue cultures identified H. parainfluenzae.

Main Results:

  • Haemophilus parainfluenzae was successfully isolated from bone biopsies and surrounding tissue.
  • The patient underwent surgical drainage and debridement.
  • Antibiotic therapy led to the resolution of the calcaneal osteomyelitis.

Conclusions:

  • Haemophilus parainfluenzae can cause calcaneal osteomyelitis.
  • Aggressive surgical intervention combined with appropriate antibiotic treatment is effective in managing such infections.

Related Concept Videos

Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
1.1K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
6.1K
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
616
Acute Pharyngitis01:30

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
4.9K
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
1.1K
Pneumonia II: Pathophysiology01:29

Pneumonia II: Pathophysiology

The pathophysiology of pneumonia involves the following steps:
3.6K