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Daniel Bomark1, Jesper Fabrin1, Michala Skovlund Sørensen1,2

  • 1Sår-, infektions- og amputationssektionen, Ortopædkirurgisk Afdeling, Sjællands Universitetshospital, Køge.

Ugeskrift for Laeger
|June 21, 2024
PubMed
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Pseudomonas aeruginosa, a Gram-negative bacterium, is rarely linked to osteomyelitis. This case report details a forearm infection caused by this pathogen, highlighting a potential complication from arterial blood gas sampling.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Orthopedics

Background:

  • Pseudomonas aeruginosa is a Gram-negative bacterium frequently causing severe infections.
  • Its role in osteomyelitis, a bone infection, is infrequently documented in scientific literature.

Observation:

  • A 71-year-old female presented with recurrent infections and persistent forearm pain.
  • Magnetic resonance imaging (MRI) identified osteomyelitis in the distal ulna.
  • The infection was potentially linked to a prior arterial blood gas sample collection.

Findings:

  • Despite multiple antibiotic treatments, the patient required surgical intervention for her left forearm.
  • Biopsy cultures confirmed the presence of Pseudomonas aeruginosa as the causative agent of osteomyelitis.

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Implications:

  • This case underscores the potential for Pseudomonas aeruginosa to cause osteomyelitis, even in immunocompetent individuals.
  • It highlights the importance of considering rare pathogens in persistent bone infections.
  • The findings suggest a possible iatrogenic route of infection transmission, emphasizing aseptic techniques in invasive procedures.