Emphysematous osteomyelitis: A rare case report
Emphysematous osteomyelitis is a rare entity that characteristically presents with intraosseous gas and positive bone cultures with gas-forming bacteria. We present a case of a 63-year-old woman who presented with lower back pain, decreased appetite, and unintentional weight loss over three weeks. T...
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Elsevier
2025-01-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221425092500023X |
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| author | Siddartha Guru Navami Guru Rezhan Hussein |
| author_facet | Siddartha Guru Navami Guru Rezhan Hussein |
| author_sort | Siddartha Guru |
| collection | DOAJ |
| description | Emphysematous osteomyelitis is a rare entity that characteristically presents with intraosseous gas and positive bone cultures with gas-forming bacteria. We present a case of a 63-year-old woman who presented with lower back pain, decreased appetite, and unintentional weight loss over three weeks. Thoracic spine Computerized tomography image showed an ill-defined lytic lesion containing gas in the T12 vertebral body with anaerobic bone cultures, which grew Clostridium septicum. There was concern for possible complication of meningitis with abnormal CSF studies but no bacterial growth, though lumber puncture was done after being on antibiotics for five days. She was found to have underlying metastatic colon cancer as well. She was treated with six weeks of ceftriaxone and metronidazole and then transitioned to oral amoxicillin-clavulanic acid while on chemotherapy. |
| format | Article |
| id | doaj-art-0f97369f59fb4241abe9b7f99059e877 |
| institution | Kabale University |
| issn | 2214-2509 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj-art-0f97369f59fb4241abe9b7f99059e8772025-02-05T04:32:02ZengElsevierIDCases2214-25092025-01-0139e02168Emphysematous osteomyelitis: A rare case reportSiddartha Guru0Navami Guru1Rezhan Hussein2Infectious Disease, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA; Corresponding author.Internal Medicine, Greater Baltimore Medical Center, Towson, MD, USAInfectious Disease, Penn State Milton S. Hershey Medical Center, Hershey, PA, USAEmphysematous osteomyelitis is a rare entity that characteristically presents with intraosseous gas and positive bone cultures with gas-forming bacteria. We present a case of a 63-year-old woman who presented with lower back pain, decreased appetite, and unintentional weight loss over three weeks. Thoracic spine Computerized tomography image showed an ill-defined lytic lesion containing gas in the T12 vertebral body with anaerobic bone cultures, which grew Clostridium septicum. There was concern for possible complication of meningitis with abnormal CSF studies but no bacterial growth, though lumber puncture was done after being on antibiotics for five days. She was found to have underlying metastatic colon cancer as well. She was treated with six weeks of ceftriaxone and metronidazole and then transitioned to oral amoxicillin-clavulanic acid while on chemotherapy.http://www.sciencedirect.com/science/article/pii/S221425092500023XEmphysematous osteomyelitisInfectionCase reportClostridium septicum |
| spellingShingle | Siddartha Guru Navami Guru Rezhan Hussein Emphysematous osteomyelitis: A rare case report IDCases Emphysematous osteomyelitis Infection Case report Clostridium septicum |
| title | Emphysematous osteomyelitis: A rare case report |
| title_full | Emphysematous osteomyelitis: A rare case report |
| title_fullStr | Emphysematous osteomyelitis: A rare case report |
| title_full_unstemmed | Emphysematous osteomyelitis: A rare case report |
| title_short | Emphysematous osteomyelitis: A rare case report |
| title_sort | emphysematous osteomyelitis a rare case report |
| topic | Emphysematous osteomyelitis Infection Case report Clostridium septicum |
| url | http://www.sciencedirect.com/science/article/pii/S221425092500023X |
| work_keys_str_mv | AT siddarthaguru emphysematousosteomyelitisararecasereport AT navamiguru emphysematousosteomyelitisararecasereport AT rezhanhussein emphysematousosteomyelitisararecasereport |