Chronic osteomyelitis of skull associated with necrotic injury after trauma: A case report
Journal Title: Journal of Microbiology and Infectious Diseases - Year 2013, Vol 3, Issue 4
Abstract
A 32-year-old male came to the emergency room with a crescentric 4x11 cm tissue defect at the right temporo-parietal region. Brain tomography showed a tissue defect in the right parietal region but bone integrity was preserved. A free flap procedure was performed to protect the cranial bones. Two months after discharge from the hospital, he presented with a draining dirty wound that appeared necrotic. Computed tomography showed a bone defect in the temporoparietal area. Empiric antibiotic treatment was initiated. The necrotic tissues were debrided as a first step and the patient was followed for granulation tissue development. Pseudomonas aeruginosa was identified from soft tissue and bone samples. Pathology results were consistent with chronic osteomyelitis. A rotation flap from the scalp was prepared after granulation tissue development. The patient’s antibiotic treatment was completed in 6 weeks. After 6 weeks, three dimensional computed tomography showed osteoblastic activity and bone formation. J Microbiol Infect Dis 2013;3(4): 218-221 Key words: Antibiotic treatment, chronic osteomyelitis, infection
Authors and Affiliations
Şua Sümer, Mehtap Karameşe, Ender Köktekir, Onur Ural
Keywords
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- EP ID EP104565
- DOI 10.5799/ahinjs.02.2013.04.0113
- Views 115
- Downloads 0
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