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Olecranon Osteomyelitis due to Actinomyces meyeri: Report of a Culture-Proven Case
- Source :
- Infection & Chemotherapy
- Publication Year :
- 2016
- Publisher :
- The Korean Society of Infectious Diseases and Korean Society for Chemotherapy, 2016.
-
Abstract
- Actinomyces meyeri is a Gram positive, strict anaerobic bacterium, which was first described by Meyer in 1911. Primary actinomycotic osteomyelitis is rare and primarily affects the cervicofacial region, including mandible. We present an unusual case of osteomyelitis of a long bone combined with myoabscess due to A. meyeri. A 70-year-old man was admitted for pain and pus discharge of the right elbow. Twenty-five days before admission, he had hit his elbow against a table. MRI of the elbow showed a partial tear of the distal triceps tendon and myositis. He underwent open debridement and partial bone resection for the osteomyelitis of the olecranon. Biopsy showed no sulfur granules, but acute and chronic osteomyelitis. The excised tissue grew A. meyeri and Peptoniphilus asaccharolyticus. Intravenous ceftriaxone was administered and switched to oral amoxicillin. Infection of the extremities of actinomycosis often poses diagnostic difficulties, but it should not be neglected even when the characteristic pathologic findings are not present.
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
Olecranon
030106 microbiology
Long bone
Elbow
Case Report
03 medical and health sciences
Biopsy
medicine
Actinomyces
Pharmacology (medical)
Myositis
medicine.diagnostic_test
biology
business.industry
Osteomyelitis
medicine.disease
biology.organism_classification
Surgery
Infectious Diseases
medicine.anatomical_structure
Actinomycosis
business
Subjects
Details
- Language :
- English
- ISSN :
- 20926448 and 20932340
- Volume :
- 48
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Infection & Chemotherapy
- Accession number :
- edsair.doi.dedup.....eabd696f56434b05049f228430214607