scholarly journals Combined Pyogenic and Tuberculous Osteomyelitis of the Clavicle: A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jairam D Jagiasi ◽  
Mohit R Upadhyaya ◽  
Parth K Mehta
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Tuberculous Infection ◽  
Osteoarticular Tuberculosis ◽  
Appropriate Treatment ◽  
Supraclavicular Fossa ◽  
Tuberculous Osteomyelitis ◽  
Anti Tubercular Therapy ◽  
High Degree ◽  
Specific Symptoms

Introduction: Tuberculous osteomyelitis of the clavicle accounts for 1–3% of cases of osteoarticular tuberculosis. It presents with non-specific symptoms and may have superadded infections with pyogenic organisms, requiring a high degree of suspicion to adequately diagnose and initiate appropriate treatment. Case Report: We describe a case of a 35-year-old male with osteolytic clavicular lesion and abscess in the supraclavicular fossa. Tissue diagnosis revealed tuberculous osteomyelitis with superadded infection with Staphylococcus aureus. He was managed with debridement and anti-tubercular therapy. Conclusion: A high degree of suspicion is required to adequately test and diagnose the cause of osteomyelitis of the clavicle, in the absence of a predisposing event, as staphylococcal and tuberculous infection can present simultaneously. Keywords: Clavicle, tuberculosis, osteomyelitis.

scholarly journals Complications of Sepsis in Infant. A Case Report

2016 ◽  
Vol 2 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Lorena Elena Meliţ ◽  
Cristina Oana Mărginean ◽  
Anca Georgescu ◽  
Carmen Duicu
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Blood Culture ◽  
Inflammatory Response ◽  
Knee Joint ◽  
Laboratory Tests ◽  
Acute Phase Reactants ◽  
Clinical Exam ◽  
Antibiotic Regime ◽  
Specific Symptoms

Abstract Sepsis is a systemic inflammatory response (SIRS) characterized by two or more of the following: fever > 38.5 °C or <36 °C, tachycardia, medium respiratory frequency over two SD for age, increased number of leukocytes. The following is a case of an eight months old, female infant, admitted in to the clinic for fever (39.7 C), with an onset five days before the admission, following trauma to the inferior lip and gum. Other than the trauma to the lip and gum, a clinical exam did not reveal any other pathological results. The laboratory tests showed leukocytosis, positive acute phase reactants (ESR 105 mm/h, PCR 85 mg/dl), with positive blood culture for Staphylococcus aureus MSSA. at 24 hours. Three days from admission, despite the administration of antibiotics (Vancomycin+Meronem), there was no remission of fever, and the infant developed a fluctuant collection above the knee joint. This was drained, and was of a serous macroscopic nature. A decision was made to perform a CT, which confirmed the diagnosis of septic arthritis. At two days after the intervention, the fever reappeared, therefore the antibiotic regime were altered (Oxacillin instead of Vancomycin), resulting in resolution of the fever. Sepsis in infant is a complex pathology, with non-specific symptoms and unpredictable evolution.

scholarly journals Tuberculosis of sternoclavicular joint: a rare case report

2020 ◽  
Vol 6 (5) ◽  
pp. 1117
Author(s):  
Atil Kumar Lal ◽  
Sudhir Shyam Kushwaha ◽  
Ajay Bharti ◽  
Mahima Pandey
Keyword(s):  
Case Report ◽  
Successful Treatment ◽  
Rare Case ◽  
Extrapulmonary Tuberculosis ◽  
Sternoclavicular Joint ◽  
Cold Abscess ◽  
Osteoarticular Tuberculosis ◽  
Rare Case Report ◽  
Anti Tubercular Therapy

<p>Osteoarticular tuberculosis comprises 10-15% of the all cases of extrapulmonary tuberculosis. Tubercular involvement of the sternoclavicular joint is very rare. We hereby present a rare case report of the 38 year old female with sternoclavicular joint tuberculosis with cold abscess. The diagnosis was confirmed by FNAC and on ZN staining AFB was isolated. Patient was managed successfully by the anti-tubercular therapy at the end of the treatment. So, a degree of suspicion of the tuberculosis at these rare sites along with investigation followed by anti-tubercular therapy leads to successful treatment of the disease.<strong></strong></p>

scholarly journals Tuberculous osteomyelitis of the proximal femur masquerading as bone secondary: A case report

2020 ◽  
Vol 27 (1) ◽  
pp. 72-76
Author(s):  
Dim Edwin Maduakonam ◽  
Lam Ying Lee ◽  
Ho Wai Yip Kenneth ◽  
Yau Ching Hin Raymond ◽  
WH Shek Tony
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Bone Lesion ◽  
Hepatocellular Cancer ◽  
Mycobacterial Infection ◽  
Tuberculous Infection ◽  
Hepatic Tuberculosis ◽  
Literature Evidence ◽  
Tuberculous Osteomyelitis ◽  
Radiologic Features

Tuberculosis is a mycobacterial infection, but it can mimic many diseases including diseases of the musculoskeletal system. The need to consider it as a differential diagnosis of musculoskeletal tumours and tumour-like conditions cannot be overemphasized. The opinions of some, that tuberculosis is a disease of the undeveloped world, can no longer be sustained especially in the presence of immunodeficiency disorders, including HIV/AIDS, which have a worldwide prevalence. Traditionally, literature evidence shows that tuberculosis can mimic quite a number of diseases, including cancers. This has been found to be true, even in some technologically advanced countries. We present a case of hepatocellular cancer patient incidentally found to have concomitant hepatic tuberculosis who complained of bone lesion, with clinico-radiologic features of metastasis, but which turned out to be a tuberculous infection of the bone.

scholarly journals Cerebral Malaria in a Patient with Recent Travel to the Congo Presenting with Delirium: A Case Report

2020 ◽  
Vol 4 (4) ◽  
pp. 533-536
Author(s):  
Megan Roberson ◽  
Austin Smith
Keyword(s):  
Case Report ◽  
Cerebral Malaria ◽  
Democratic Republic Of Congo ◽  
Neurologic Complication ◽  
Close Monitoring ◽  
Neurocognitive Deficits ◽  
Altered Consciousness ◽  
Appropriate Treatment ◽  
Specific Symptoms

Introduction: Cerebral malaria, a syndrome of altered consciousness, is a rare and severe neurologic complication resulting from Plasmodium falciparum.1 Historically, cerebral malaria has been seen more frequently in children rather than adults. To complicate the diagnosis, cerebral malaria has few specific symptoms and neurologic findings can vary with each case. Case Report: We describe a case of a 61-year-old male who returned from the Democratic Republic of Congo and presented to the emergency department with dehydration, fatigue, and intermittent confusion. He was ultimately diagnosed with cerebral malaria caused by P. falciparum. Conclusion: Even with close monitoring and appropriate treatment, cerebral malaria carries a severe risk of long-term neurocognitive deficits and a high mortality rate.

scholarly journals Perfil Epidemiológico da Espondilodiscite Tratada Cirurgicamente

2016 ◽  
Vol 29 (5) ◽  
pp. 319 ◽  
Author(s):  
Joaquim Soares do Brito ◽  
António Tirado ◽  
Pedro Fernandes
Keyword(s):  
Staphylococcus Aureus ◽  
Mycobacterium Tuberculosis ◽  
Surgical Treatment ◽  
Epidemiologic Study ◽  
Neurological Impairment ◽  
Tuberculous Infection ◽  
Paravertebral Abscess ◽  
Number Of Patients ◽  
Epidemiological Profile ◽  
Relative Constant

<p><strong>Introduction:</strong> The term spondylodiscitis aims to describe any spinal infection. Medical treatment is the gold standard; nevertheless, surgical treatment can be indicated. The aim of this work was to study the epidemiological profile in a group of patients with spondylodiscitis surgically treated in the same medical institution between 1997 and 2013. <br /><strong>Material and Methods:</strong> Eighty five patients with spondylodiscitis were surgically treated in this period. The authors analysed clinical data and image studies for each patient.<br /><strong>Results:</strong> We treated 51 male and 34 female patients with an average age of 48 years old (min: 6 - max: 80). The lumbar spine was more often affected and <em>Mycobacterium tuberculosis</em> the most frequent pathogen. The number of cases through the years has been grossly stable, with a slight increase of dyscitis due to <em>Staphylococcus aureus</em> and decrease of the dyscitis without pathogen identification. Paravertebral abscess was identified in 39 patients and 17 had also neurological impairment, mostly located in the thoracic spine and with tuberculous aetheology. Immunosuppression was documented in 10 patients. <br /><strong>Discussion:</strong> In this epidemiologic study we found a tuberculous infection, male gender and young age predominance. Despite a relative constant number of patients operated over the years, pyogenic infections due to <em>Staphylococcus aureus</em> seems to be uprising. Paravertebral abscess and neurological impairment are important dyscitis complications, especially in tuberculous cases.<br /><strong>Conclusion:</strong> Spinal infections requiring surgical treatment are still an important clinical condition. <em>Mycobacterium tuberculosis</em> and <em>Staphylococcus aureus</em> represent the main pathogens with a growing incidence for the latest.</p>

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