Cases reported "Osteomyelitis"

Filter by keywords:



Filtering documents. Please wait...

1/99. Salvage of the lower leg using a reversed long free fibular flap.

    The advantages of end-to-side anastomoses have been well documented in microvascular surgery. The vessels of the fibular flap do not usually permit end-to-side anastomosis to recipient vessels in the proximal part of the lower leg because the pedicle length of the free fibular flap is usually too short. Therefore, vein grafts are used to elongate the vessels. If a harvested long free fibular flap that is used to bridge a massive defect of the tibia is reversed and placed into the medullary cavity of the tibia, the flap vessels can be anastomosed, using the end-to-side technique, to the recipient vessels without vein grafts in the distal part of the lower leg. Thus, the flap artery (the peroneal artery) fills in a retrograde fashion. The patient reported was reconstructed with a reversed long free fibular flap. The postoperative period was uneventful. The patient can stand and walk with a protective shoe 2 years postoperatively.
- - - - - - - - - -
ranking = 1
keywords = vein
(Clic here for more details about this article)

2/99. Successful treatment of candidal osteomyelitis with fluconazole following failure with liposomal amphotericin b.

    A case of multiple relapses of candida albicans infection of deep tissues is described. Treatment was complicated by renal impairment, but therapy with a liposomal amphotericin product failed to eradicate the third recurrence which subsequently resolved after protracted exposure to oral fluconazole.
- - - - - - - - - -
ranking = 1.6868163513104
keywords = deep
(Clic here for more details about this article)

3/99. Hyperbaric oxygen therapy in deep sternal wound infection after heart transplantation.

    The results of orthotopic heart transplantation (OHTx) are still burdened with considerable early mortality due to graft rejection or infection. sternum osteomyelitis is an infrequent postoperative complication. We report a case of deep sternal wound infection (2 months after OHTx) that was treated with hyperbaric oxygen therapy in addition to local surgical treatment.
- - - - - - - - - -
ranking = 8.4340817565522
keywords = deep
(Clic here for more details about this article)

4/99. Fatal case due to methicillin-resistant staphylococcus aureus small colony variants in an AIDS patient.

    We describe the first known case of a fatal infection with small colony variants of methicillin-resistant staphylococcus aureus in a patient with AIDS. Recovered from three blood cultures as well as from a deep hip abscess, these variants may have resulted from long-term antimicrobial therapy with trimethoprim/sulfamethoxazole for prophylaxis of pneumocystis carinii pneumonia.
- - - - - - - - - -
ranking = 1.6868163513104
keywords = deep
(Clic here for more details about this article)

5/99. Community-acquired methicillin-resistant staphylococcus aureus: a cause of musculoskeletal sepsis in children.

    Between August 1996 and August 1997, 130 children were admitted to our pediatric orthopaedic unit with Staphylococcus aureus musculoskeletal infection. Twenty-six of the 130 staphylococcal isolates were resistant to methicillin, an incidence of 20%. All but one of the infections, a femoral fixator-pin infection, were community-acquired. Twenty-two of the infections were superficial; however, there were four cases of deep musculoskeletal sepsis due to methicillin-resistant S. aureus. In areas where methicillin-resistant S. aureus is prevalent in the community, methicillin resistance should be considered in any overwhelming staphylococcal infection not responding to conventional antibiotics despite adequate surgical debridement.
- - - - - - - - - -
ranking = 1.6868163513104
keywords = deep
(Clic here for more details about this article)

6/99. Lemierre's syndrome.

    Postanginal sepsis, or Lemierre's syndrome, is rare but with life-threatening potential involving mainly infants and adolescents. The morbidity or mortality is caused mainly by lack of knowledge of the syndrome. The 18-year-old boy described here developed a jugular thrombosis 7 days after an angina. fusobacterium necrophorum was isolated from the culture of the excised jugular vein. Secondary embolism involved the lungs, associated with an iliac osteomyelitis and sacroiliitis. Computed tomography was used for diagnosis and follow-up.
- - - - - - - - - -
ranking = 32.766674061239
keywords = thrombosis, vein
(Clic here for more details about this article)

7/99. fluconazole in the therapy of multiple osteomyelitis in African histoplasmosis.

    amphotericin b has been the standard treatment for deep mycoses including African histoplasmosis, but its use is complicated by its toxicity. More recently, fluconazole, a water-soluble triazole with antimycotic activity and little side effects, has become available. A case of African histoplasmosis from nigeria, manifesting as multiple osteomyelitis and successfully treated with oral fluconazole, is presented. fluconazole may be preferred in the therapy of African histoplasmosis.
- - - - - - - - - -
ranking = 1.6868163513104
keywords = deep
(Clic here for more details about this article)

8/99. Reverse venous outflow of a free fibular osteocutaneous flap: a salvage procedure.

    The authors report 2 patients with a massive bony defect of the tibia due to chronic osteomyelitis. They reconstructed the defect using a free vascularized fibular osteocutaneous flap. Unfortunately, venous insufficiency was diagnosed 24 hours postoperatively. The previous anastomosed veins were promptly explored. The peroneal veins of the vascularized fibular bone graft were noted to be full of thrombi. After thrombectomy, the vessels became very fragile and broke down easily. It was impossible to achieve normal antegrade venous outflow from the previous vein of the donor graft; however, they found that distal runoff of the peroneal vein achieved a reverse venous outflow from the donor graft. The great saphenous vein was dissected and reanastomosed to achieve adequate venous drainage. This procedure may offer an alternative treatment for a flap with venous insufficiency.
- - - - - - - - - -
ranking = 2.5
keywords = vein
(Clic here for more details about this article)

9/99. osteomyelitis of the clavicle. A case report.

    osteomyelitis of the clavicle is a rare complication of subclavian vein catheterization. The authors report the case of a patient with osteomyelitis in the right clavicle after subclavian venipuncture.
- - - - - - - - - -
ranking = 0.5
keywords = vein
(Clic here for more details about this article)

10/99. osteomyelitis, lateral sinus thrombosis, and temporal lobe infarction caused by infection of a percutaneous cochlear implant.

    OBJECTIVE: cochlear implantation has become a routine operation in the last 10 years. The most common soft tissue complications with transcutaneous cochlear implants include infection or necrosis of the flap and extrusion of the implant and device failure. The most common complication reported with percutaneous devices include minor skin irritations at the pedestal site, retraction of skin from the pedestal site, and loosening of screws that retain the pedestal. We describe one case of lateral sinus thrombosis and secondary temporal lobe infarction caused by infection of a screw anchoring the percutaneous pedestal of an Ineraid implant. STUDY DESIGN: Case report. SETTING: Tertiary referral center. CONCLUSIONS: Intracranial complications of a percutaneous bone-anchored pedestal may occur with little prodrome. Computed tomography (CT) scan of the pedestal and bone anchoring screws may be indicated if local evidence of infection persists.
- - - - - - - - - -
ranking = 161.33337030619
keywords = thrombosis
(Clic here for more details about this article)
| Next ->


Leave a message about 'Osteomyelitis'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.