Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis

An immunocompetent 33-year-old woman presented with a pathologic femur fracture after one month of progressively worsening right thigh pain. Open biopsy demonstrated acute suppurative osteomyelitis despite the lack of clinical risk factors. The polymicrobial infection was successfully treated with t...

Full description

Saved in:
Bibliographic Details
Main Authors: Evan R. J. Goyette, Natalia Georgantzoglou, Darcy A. Kerr, Yvonne Cheung, Eric R. Henderson, Konstantinos Linos
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2023/6279174
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832558443537367040
author Evan R. J. Goyette
Natalia Georgantzoglou
Darcy A. Kerr
Yvonne Cheung
Eric R. Henderson
Konstantinos Linos
author_facet Evan R. J. Goyette
Natalia Georgantzoglou
Darcy A. Kerr
Yvonne Cheung
Eric R. Henderson
Konstantinos Linos
author_sort Evan R. J. Goyette
collection DOAJ
description An immunocompetent 33-year-old woman presented with a pathologic femur fracture after one month of progressively worsening right thigh pain. Open biopsy demonstrated acute suppurative osteomyelitis despite the lack of clinical risk factors. The polymicrobial infection was successfully treated with three operative procedures and culture-specific antibiotic agents. Acute osteomyelitis, while an uncommon cause of pathologic fracture, must always be on the differential diagnosis, even when no obvious predisposing factors are present. When investigating for an infectious etiology in cases such as our own, considering immunodeficiency syndromes alongside the more typical causes of osteomyelitis is encouraged.
format Article
id doaj-art-3d9d2814c8f34b2bbd9f0a95e24f2cc5
institution Kabale University
issn 2090-679X
language English
publishDate 2023-01-01
publisher Wiley
record_format Article
series Case Reports in Pathology
spelling doaj-art-3d9d2814c8f34b2bbd9f0a95e24f2cc52025-02-03T01:32:19ZengWileyCase Reports in Pathology2090-679X2023-01-01202310.1155/2023/6279174Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute OsteomyelitisEvan R. J. Goyette0Natalia Georgantzoglou1Darcy A. Kerr2Yvonne Cheung3Eric R. Henderson4Konstantinos Linos5Department of Pathology and Laboratory MedicineDepartment of Pathology and Laboratory MedicineDepartment of Pathology and Laboratory MedicineDepartment of RadiologyGeisel School of Medicine at DartmouthDepartment of PathologyAn immunocompetent 33-year-old woman presented with a pathologic femur fracture after one month of progressively worsening right thigh pain. Open biopsy demonstrated acute suppurative osteomyelitis despite the lack of clinical risk factors. The polymicrobial infection was successfully treated with three operative procedures and culture-specific antibiotic agents. Acute osteomyelitis, while an uncommon cause of pathologic fracture, must always be on the differential diagnosis, even when no obvious predisposing factors are present. When investigating for an infectious etiology in cases such as our own, considering immunodeficiency syndromes alongside the more typical causes of osteomyelitis is encouraged.http://dx.doi.org/10.1155/2023/6279174
spellingShingle Evan R. J. Goyette
Natalia Georgantzoglou
Darcy A. Kerr
Yvonne Cheung
Eric R. Henderson
Konstantinos Linos
Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis
Case Reports in Pathology
title Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis
title_full Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis
title_fullStr Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis
title_full_unstemmed Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis
title_short Pathologic Femur Fracture in an Immunocompetent Healthy Young Adult due to Acute Osteomyelitis
title_sort pathologic femur fracture in an immunocompetent healthy young adult due to acute osteomyelitis
url http://dx.doi.org/10.1155/2023/6279174
work_keys_str_mv AT evanrjgoyette pathologicfemurfractureinanimmunocompetenthealthyyoungadultduetoacuteosteomyelitis
AT nataliageorgantzoglou pathologicfemurfractureinanimmunocompetenthealthyyoungadultduetoacuteosteomyelitis
AT darcyakerr pathologicfemurfractureinanimmunocompetenthealthyyoungadultduetoacuteosteomyelitis
AT yvonnecheung pathologicfemurfractureinanimmunocompetenthealthyyoungadultduetoacuteosteomyelitis
AT ericrhenderson pathologicfemurfractureinanimmunocompetenthealthyyoungadultduetoacuteosteomyelitis
AT konstantinoslinos pathologicfemurfractureinanimmunocompetenthealthyyoungadultduetoacuteosteomyelitis