Hansen Joshua, Ngatuvai Micah, Bermudez Alexys, Salisbury Joshua, Klahs Kyle, Handel Gilbert, Abdelgawad Amr, Thabet Ahmed M
Texas Tech University of the Health Sciences, El Paso, Department of Orthopaedic Surgery and Rehabilitation, 4801 Alberta Ave, El Paso, TX 79905,United States.
Tripler Army Medical Center, Department of Orthopaedic Surgery, 1 Jarrett White Rd, TRIPLER AMC, HI 96859,United States.
J Surg Case Rep. 2024 Dec 5;2024(12):rjae758. doi: 10.1093/jscr/rjae758. eCollection 2024 Dec.
An 11-year-old male presented with severe pain in the left knee after a minor twisting injury. Magnetic resonance imaging (MRI) revealed a large fluid collection posterior to the distal femur. CT and intraoperative findings revealed left popliteal vein thrombosis. Irrigation and debridement were performed, and intraoperative cultures confirmed osteomyelitis due to pan-sensitive . Treatment included antibiotic and anticoagulation therapy. At 6 months, the patient was asymptomatic and cleared for full activity. This case demonstrates that deep vein thrombosis (DVT) can occur with osteomyelitis, a previously undescribed association. Clinicians should maintain suspicion for DVT with any causative organism in osteomyelitis.
一名11岁男性在轻微扭伤后出现左膝剧痛。磁共振成像(MRI)显示股骨远端后方有大量液体积聚。CT和术中检查结果显示左腘静脉血栓形成。进行了冲洗和清创,术中培养证实为全敏感菌所致的骨髓炎。治疗包括抗生素和抗凝治疗。6个月时,患者无症状,可恢复完全活动。该病例表明骨髓炎可并发深静脉血栓形成(DVT),这是一种此前未被描述的关联。对于骨髓炎的任何致病微生物,临床医生都应怀疑有DVT。