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Haemophilus aphrophilus sternal osteomyelitis.

C S Berenson1, R J Mangi

  • 1Department of Medicine, Hospital of St. Raphael, New Haven, Conn.

Southern Medical Journal
|December 1, 1988
PubMed
Summary

This case study details a rare instance of sternal osteomyelitis caused by Haemophilus aphrophilus, occurring twice in the same patient seven years apart. Treatment involved surgical intervention and antibiotics, leading to successful recovery.

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Area of Science:

  • Infectious Diseases
  • Surgical Pathology
  • Microbiology

Background:

  • Recurrent sternal osteomyelitis is uncommon.
  • Haemophilus aphrophilus is a rare pathogen in bone infections.
  • Dental infections can lead to distant hematogenous seeding.

Observation:

  • A unique case of sternal osteomyelitis caused by Haemophilus aphrophilus is presented.
  • The patient experienced two distinct infectious episodes seven years apart.
  • Preceding dental abscesses and trauma were noted in the patient's history.

Findings:

  • Hematogenous seeding from a dental source is the suspected etiology.
  • Surgical debridement was performed.
  • Penicillin therapy was administered post-dental extractions.

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Implications:

  • Highlights the potential for recurrent bone infections from chronic oral foci.
  • Emphasizes the importance of source control (dental extractions) in managing such infections.
  • Suggests Haemophilus aphrophilus as a pathogen to consider in sternal osteomyelitis, especially with dental history.