Pseudomonas osteomyelitis following puncture wounds of the foot

The management of puncture wounds of the foot should include routine wound care, tetanus prophylaxis and warnings of what to look for and expect. Pseudomonas aeruginosa is the most commonly recovered organism in puncture wounds. Should symptoms develop, aggressive intravenous antibiotic treatment should be initiated if symptoms occur within seven days. Clinical presentation is characterized by minimal systemic symptoms, few laboratory abnormalities, and asymptomatic patients until the obvious presentation of osteomyelitis. After seven to 14 days, the would should be surgically treated and appropriate antibiotics administered.