Acute osteomyelitis of the humerus mimicking malignancy: Streptococcus pneumoniae as exceptional pathogen in an immunocompetent adult

作者：Prodinger Peter M^*; Pilge Hakan; Banke Ingo J; Buerklein Dominik; Gradinger Reiner; Miethke Thomas; Holzapfel Boris M

来源：BMC Infectious Diseases, 2013, 13(1): 266.

DOI：10.1186/1471-2334-13-266

• Acute osteomyelitis
• Haematogenous
• S. pneumoniae
• Long bones
• Immunodeficiency
• Osteomyelitis of the humerus

Background: Chronic osteomyelitis due to direct bone trauma or vascular insufficiency is a frequent problem in orthopaedic surgery. In contrast, acute haematogenous osteomyelitis represents a rare entity that almost exclusively affects prepubescent children or immunodeficient adults. %26lt;br%26gt;Case Presentation: In this article, we report the case of acute pneumococcal osteomyelitis of the humerus in an immunocompetent and otherwise healthy 44-year-old male patient presenting with minor inflammation signs and misleading clinical features. %26lt;br%26gt;Conclusions: The diagnosis had to be confirmed by open biopsy which allowed the initiation of a targeted therapy. A case of pneumococcal osteomyelitis of a long bone, lacking predisposing factors or trauma, is unique in adults and has not been reported previously.

• 出版日期2013-6-5
• 单位河北医科大学