University at Buffalo Jacobs School of Medicine, Buffalo, New York.
UBMD Orthopaedics and Sports Medicine, Buffalo, New York.
JBJS Case Connect. 2022 Oct 14;12(4). doi: e22.00247. eCollection 2022 Oct 1.
We present an interesting case of femoral emphysematous osteomyelitis (EO) in a 67-year-old patient with the offending pathogen to be Parvimonas micra. Two knee arthrotomies with lateral thigh exploration were performed to debride and irrigate the bone and compartments. Although the patient initially improved, definitive treatment with an antibiotic intramedullary rod was necessary and resulted in complete resolution.
We present the first case of EO secondary to P. micra described in the literature and recommend aggressive surgical management for complete resolution and preserved functional outcome.
我们报告了一例有趣的 67 岁股骨气性骨髓炎(EO)病例,其病原体为小韦荣球菌。对患者进行了两次膝关节切开术和大腿外侧探查术,以清创和冲洗骨骼和腔室。尽管患者最初有所改善,但仍需要使用抗生素髓内棒进行确定性治疗,结果完全解决。
我们报告了首例文献中描述的小韦荣球菌引起的 EO 病例,并建议积极的手术治疗以实现完全缓解和保留功能结果。