1
|
Moumen A, Belamlih H, Benabedlfedil Y, Derrou S, Lemhadi M, Safi S, El Guendouz F. Bacterial scleritis secondary to osteitis in a diabetic patient. J Fr Ophtalmol 2024; 47:103931. [PMID: 37666739 DOI: 10.1016/j.jfo.2023.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 09/06/2023]
Affiliation(s)
- A Moumen
- Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Human pathology, Biomedicine and Environment Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco.
| | - H Belamlih
- Radiology Department, Moulay Ismail Military Hospital of Meknes, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco
| | - Y Benabedlfedil
- Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Human pathology, Biomedicine and Environment Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco
| | - S Derrou
- Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Human pathology, Biomedicine and Environment Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco
| | - M Lemhadi
- Ophthalmology Department, Moulay Ismail Military Hospital of Meknes, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco
| | - S Safi
- Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Human pathology, Biomedicine and Environment Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco
| | - F El Guendouz
- Endocrinology and Diabetology Department, Moulay Ismail Military Hospital of Meknes, Human pathology, Biomedicine and Environment Laboratory, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fes, Morocco
| |
Collapse
|
2
|
Albac S, Labrousse D, Hayez D, Anzala N, Bonnot D, Chavanet P, Aslangul E, Croisier D. Activity of Different Antistaphylococcal Therapies, Alone or Combined, in a Rat Model of Methicillin-Resistant Staphylococcus epidermidis Osteitis without Implant. Antimicrob Agents Chemother 2020; 64:e01865-19. [PMID: 31740562 PMCID: PMC6985758 DOI: 10.1128/aac.01865-19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Accepted: 11/11/2019] [Indexed: 01/30/2023] Open
Abstract
We developed a rat model of methicillin-resistant Staphylococcus epidermidis (MRSE) osteitis without implant to compare the efficacy of vancomycin, linezolid, daptomycin, ceftaroline, and rifampin either alone or in association with rifampin. A clinical strain of MRSE was inoculated into the proximal tibia. Following a 1-week infection period, rats received either no treatment or 3, 7, or 14 days of human-equivalent antibiotic regimen. Quantitative bone cultures were performed throughout the 14-day period. The mean ± SD quantity of staphylococci in the bone after a 1-week infection period was 4.5 ± 1.0 log10 CFU/g bone, with this bacterial load remaining stable after 3 weeks of infection (4.9 ± 1.4 log10 CFU/g bone). Vancomycin monotherapy was the most slowly bactericidal treatment, whereas ceftaroline monotherapy was the most rapidly bactericidal treatment. The addition of rifampin significantly increased the bacterial reduction for vancomycin, linezolid, and daptomycin. All tibias were sterilized after 2 weeks of treatment except for animals receiving vancomycin or daptomycin alone (66.6% and 50% of sterilization, respectively). These results show that ceftaroline and linezolid alone remain good options in the treatment of MRSE osteitis without implant. The combination with rifampin increases the antibiotic effect of vancomycin and daptomycin lines.
Collapse
Affiliation(s)
| | | | | | | | | | - P Chavanet
- Vivexia, Dijon, France
- Département d'Infectiologie, Centre Hospitalier Universitaire, Dijon, France
| | - E Aslangul
- Centre Coordonné de Médecine Interne, Colombes, France
| | | |
Collapse
|
3
|
Abstract
A 33-year-old man presented to the emergency department with a right-sided facial paralysis and maxillary division (V2, trigeminal nerve) paraesthesia. He had been suffering with upper respiratory tract symptoms in the preceding 2 months, including rhinorrhoea, fever and headache. The patient was otherwise fit and immunocompetent. Urgent radiological investigation revealed extensive fungal sinusitis with sphenoid sinus dehiscence and skull base osteitis. The patient underwent emergency endoscopic sinus surgery revealing concretions and debris in the ethmoid and sphenoid sinuses. He was commenced on systemic antifungal therapy and made a full recovery with resolution of his cranial neuropathies. The fungus Schizophyllum commune was isolated and is a rare cause of fungal sinusitis, but with the potential for invasive disease in immunosuppressed individuals.
Collapse
Affiliation(s)
- Thomas Hendriks
- Department of Ear, Nose & Throat Surgery, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
| | - Samuel Leedman
- Department of Ear, Nose & Throat Surgery, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
| | - Mark Quick
- Department of Ear, Nose & Throat Surgery, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
| | - Aanand Acharya
- Department of Ear, Nose & Throat Surgery, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
| |
Collapse
|
4
|
Ruppé E, Lazarevic V, Girard M, Mouton W, Ferry T, Laurent F, Schrenzel J. Clinical metagenomics of bone and joint infections: a proof of concept study. Sci Rep 2017; 7:7718. [PMID: 28798333 PMCID: PMC5552814 DOI: 10.1038/s41598-017-07546-5] [Citation(s) in RCA: 64] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Accepted: 06/29/2017] [Indexed: 12/19/2022] Open
Abstract
Bone and joint infections (BJI) are severe infections that require a tailored and protracted antibiotic treatment. Yet, the diagnostic based on culturing samples lacks sensitivity, especially for hardly culturable bacteria. Metagenomic sequencing could potentially address those limitations. Here, we assessed the performances of metagenomic sequencing on 24 BJI samples for the identification of pathogens and the prediction of their antibiotic susceptibility. For monomicrobial samples in culture (n = 8), the presence of the pathogen was confirmed by metagenomics in all cases. For polymicrobial samples (n = 16), 32/55 bacteria (58.2%) were found at the species level (and 41/55 [74.5%] at the genus level). Conversely, 273 bacteria not found in culture were identified, 182 being possible pathogens and 91 contaminants. A correct antibiotic susceptibility could be inferred in 94.1% and 76.5% cases for monomicrobial and polymicrobial samples, respectively. Altogether, we found that clinical metagenomics applied to BJI samples is a potential tool to support conventional culture.
Collapse
Affiliation(s)
- Etienne Ruppé
- Genomic Research Laboratory, Service of Infectious Diseases, Geneva University Hospitals, rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
| | - Vladimir Lazarevic
- Genomic Research Laboratory, Service of Infectious Diseases, Geneva University Hospitals, rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
| | - Myriam Girard
- Genomic Research Laboratory, Service of Infectious Diseases, Geneva University Hospitals, rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
| | - William Mouton
- Centre International de Recherche en Infectiologie, INSERM U1111, Pathogenesis of staphylococcal infections, University of Lyon 1, Lyon, France
- Department of Clinical Microbiology, Northern Hospital Group, Hospices Civils de Lyon, Lyon, France
| | - Tristan Ferry
- Centre International de Recherche en Infectiologie, INSERM U1111, Pathogenesis of staphylococcal infections, University of Lyon 1, Lyon, France
- Infectious Diseases Department, Northern Hospital Group, Hospices Civils de Lyon, Lyon, France
| | - Frédéric Laurent
- Centre International de Recherche en Infectiologie, INSERM U1111, Pathogenesis of staphylococcal infections, University of Lyon 1, Lyon, France
- Department of Clinical Microbiology, Northern Hospital Group, Hospices Civils de Lyon, Lyon, France
| | - Jacques Schrenzel
- Genomic Research Laboratory, Service of Infectious Diseases, Geneva University Hospitals, rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland
- Bacteriology Laboratory, Service of Laboratory Medicine, Department of Genetics and Laboratory Medicine, Geneva University Hospitals, 4 rue Gabrielle-Perret-Gentil, 1205, Geneva, Switzerland
| |
Collapse
|
5
|
Do Vale J, Mezhari I, Oker N, Roux D. Keep an ear to the ground, the answer's behind. Intensive Care Med 2015; 42:440-442. [PMID: 26289009 DOI: 10.1007/s00134-015-4020-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Accepted: 08/07/2015] [Indexed: 11/25/2022]
Affiliation(s)
- Julien Do Vale
- AP-HP, Service de Réanimation Médico-Chirurgicale, Hôpital Louis Mourier, 178 Rue des Renouillers, 92700, Colombes, France
| | - Ilham Mezhari
- AP-HP, Service de Réanimation Médico-Chirurgicale, Hôpital Louis Mourier, 178 Rue des Renouillers, 92700, Colombes, France
| | - Natalie Oker
- AP-HP, Service d'ORL Chirurgie Maxillo-faciale et Plastique, Hôpital Lariboisière, Université Paris Diderot, 75010, Paris, France
| | - Damien Roux
- AP-HP, Service de Réanimation Médico-Chirurgicale, Hôpital Louis Mourier, 178 Rue des Renouillers, 92700, Colombes, France.
- INSERM, IAME, UMR 1137, 75018, Paris, France.
- Université Paris Diderot, Sorbonne Paris Cité, 75018, Paris, France.
| |
Collapse
|
6
|
Guira O, Tiéno H, Traoré S, Diallo I, Ouangré E, Sagna Y, Zabsonré J, Yanogo D, Traoré SS, Drabo YJ. [The bacterial microflora of diabetic foot infection and factors determining its spectrum in Ouagadougou (Burkina Faso)]. ACTA ACUST UNITED AC 2015; 108:307-11. [PMID: 26187771 DOI: 10.1007/s13149-015-0442-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Accepted: 06/23/2015] [Indexed: 11/26/2022]
Abstract
The aim of the study was to describe the bacterial microflora of diabetic foot infection and to identify the factors which determine the bacterial spectrum in order to increase empiric antibiotic prescription in Ouagadougou. The study was a cross-sectional one, carried from July 1st, 2011 to June 30, 2012 in the departments of internal medicine and general and digestive surgery in Yalgado Ouédraogo teaching hospital. Samples for bacteriological tests consisted of aspiration of pus through the healthy skin, curettage and swab of the base of the ulceration or tissue biopsy from foot lesions. The bacteria's sensitivity to antibiotics has been tested by the qualitative method (Kirby-Bauer). The frequency of diabetic foot infection was 14.45% and the monthly incidence 5.33. The mean age of patients was 56 years and the sex ratio 1.37. Foot ulcerations were chronic in 33 (51.56%), necrotic in 51 (79.69%) and associated with osteitis in 40 (62.5%) patients. Infection was grade 3 in 70.3% cases. Thirty-nine patients had received antibiotics before hospital admission. Among the 71 samples, 62 (87.32%) cultures were positive: 53 (85.48%) monomicrobial and 9 (14.52%) bimicrobial. Aerobic Gram-positive cocci (76%) were the most frequent from ulcerations: Staphylococcus aureus (32.39%), Streptococcus sp (18.30%). Negative coagulase staphylococci have been found in 23.94% cases. Aerobic gram-negative bacilli have been isolated from 24% ulcerations. No factor was associated with the type of bacteria. Gram-positive pathogen cocci showed a high sensitivity to amoxicillin-clavulanic acid and oxacillin. No methicillin-resistant Staphylococcus aureus (MRSA) or extended-spectrum beta lactamase Enterobacteriaceae (ESBL) have been isolated. A better design is necessary to a clarification of bacterial flora in diabetic foot infections. Prevention of bacterial resistance is also needed.
Collapse
Affiliation(s)
- O Guira
- Unité de formation et de recherche en sciences de la santé, Université de Ouagadougou, BP 7021, Ouagadougou, Burkina Faso.
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso.
| | - H Tiéno
- Unité de formation et de recherche en sciences de la santé, Université de Ouagadougou, BP 7021, Ouagadougou, Burkina Faso
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| | - S Traoré
- Unité de formation et de recherche en sciences de la santé, Université de Ouagadougou, BP 7021, Ouagadougou, Burkina Faso
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
- Service de chirurgie générale et digestive, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| | - I Diallo
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| | - E Ouangré
- Unité de formation et de recherche en sciences de la santé, Université de Ouagadougou, BP 7021, Ouagadougou, Burkina Faso
- Service de chirurgie générale et digestive, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| | - Y Sagna
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| | - J Zabsonré
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| | - D Yanogo
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| | - S S Traoré
- Unité de formation et de recherche en sciences de la santé, Université de Ouagadougou, BP 7021, Ouagadougou, Burkina Faso
| | - Y J Drabo
- Unité de formation et de recherche en sciences de la santé, Université de Ouagadougou, BP 7021, Ouagadougou, Burkina Faso
- Service de médecine interne, Centre hospitalier universitaire Yalgado Ouédraogo, BP 7022, Ouagadougou, Burkina Faso
| |
Collapse
|
7
|
|
8
|
Diomandé M, Eti E, Ouali B, Kouakou ESCL, Ouattara Yaconon M, Kouassi JMD, Gbané-Koné M, Kouakou N'zué M. [Profile of non-traumatic osteoarticular diseases in elderly black Africans: about 157 cases seen in Abidjan]. Tunis Med 2015; 93:312-315. [PMID: 26578049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND The aging of the world population is a phenomenon that is growing progressively. Specific knowledge of osteoarticular disorders in the elderly in black Africa seems limited. AIM Describe the epidemiological, clinical and etiological characteristics of non-traumatic osteoarticular disorders in elderly black Africans. METHODS Retrospective and descriptive study concerning black africans patients aged 60 years and over hospitalized in the department of Rheumatology of hospital center of Cocody (Abidjan) in a period of 7 years from January 2000 to December 2007. Were included, 157 records of black africans patients, suffering from a osteoarticular disorder non traumatic with an accurate diagnosis. A structured questionnaire was used to gather epidemiological, clinical and etiological characteristics. RESULTS The prevalence of elders was 5% of all patients seen in the period of study. The average age was 67 years with the predominance of women (59,7%) and sex-ratio was 0,68. Housewives were predominant (40,6%). The reason for hospitalization was a pain from spine (85,8%) dominated by common low back pain (84,4%). Fever (51,9%) and impaired general health (53.4%) were dominant extraarticular signs. The main etiologies were degenerative (50.5%) with a predominance of common low back pain (38.2%), followed by bacterial osteitis and/or bacterial arthritis (20.5%) and malignancies (hematologic malignancies and metastasis of cancer) in 15.9% of cases. Degenerative pathology was significantly observed in females (p=0.004). CONCLUSION Non-traumatic osteoarticular diseases in elderly black africans are little frequent in Abidjan and are dominated by degenerative diseases of spine.
Collapse
|
9
|
Le Guern R, Loïez C, Loobuyck V, Rousse N, Courcol R, Wallet F. A new case of Mycoplasma hominis mediastinitis and sternal osteitis after cardiac surgery. Int J Infect Dis 2014; 31:53-5. [PMID: 25532483 DOI: 10.1016/j.ijid.2014.12.028] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Revised: 12/15/2014] [Accepted: 12/16/2014] [Indexed: 11/16/2022] Open
Abstract
We report a case of nosocomial mediastinitis and sternal osteitis due to M. hominis after open-heart surgery in an immuno-competent patient. This infection has been diagnosed by incubating the culture media for an extended period of time, and sequencing 16S rDNA directly from the clinical samples.
Collapse
Affiliation(s)
- Rémi Le Guern
- Institute of Microbiology, University Hospital Center, Lille, France.
| | - Caroline Loïez
- Institute of Microbiology, University Hospital Center, Lille, France
| | - Valentin Loobuyck
- Department of Cardiovascular Surgery, University Hospital Center, Lille, France
| | - Natacha Rousse
- Department of Cardiovascular Surgery, University Hospital Center, Lille, France
| | - René Courcol
- Institute of Microbiology, University Hospital Center, Lille, France
| | - Frédéric Wallet
- Institute of Microbiology, University Hospital Center, Lille, France
| |
Collapse
|
10
|
Sendi P, Meier R, Sonderegger B, Bonel HM, Schäfer SC, Vögelin E. Reactivated Moraxella osteitis presenting as granulomatous disease. Neth J Med 2014; 72:491-493. [PMID: 25431395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Granulomatous infections are commonly associated with mycobacteria, brucellosis, actinomycosis, nocardiosis, spirochetes, and fungi. Rarely, granuloma formation is a host response to other bacterial infection. Osteomyelitis and osteitis that reactivate many years after the primary episode is a known phenomenon. A reactivation that presents as a granulomatous disease is rare. We present a case of reactivated osteitis due to Moraxella osloensis with consecutive granuloma formation.
Collapse
Affiliation(s)
- P Sendi
- Department of Infectious Diseases, University Hospital of Bern and University of Bern, Bern, Switzerland
| | | | | | | | | | | |
Collapse
|
11
|
Abstract
Mycetoma is a chronic inflammatory cutaneous and subcutaneous pathology caused by either a fongic (eumycetoma) or bacterial (actinomycetoma) infection, which lead to a granulomatous tumefaction with multiple sinuses. When localized in the foot this infection is named "Madura foot". This infection is endemic to tropical and subtropical regions and rarely occurs in western countries. A historical case in Europe of a foot mycetoma evolving since 20 years without any treatment is presented. A histopathologic diagnosis of actinomycetoma has been done in 1987. The patient presented a severe Staphylococcus aureus chronic osteitis leading to a trans-tibial amputation. This case allows to present this infection which, even if rarely presented in France, can be meet especially among a migrant's population.
Collapse
Affiliation(s)
- A Iniesta
- Service de chirurgie de la main et réparatrice des membres, Aix-Marseille université, AP-HM conception, 147, boulevard Baille, 13385 Marseille, France.
| | - C Baptista
- Service de chirurgie de la main et réparatrice des membres, Aix-Marseille université, AP-HM conception, 147, boulevard Baille, 13385 Marseille, France
| | - D Guinard
- Service de chirurgie de la main et réparatrice des membres, Aix-Marseille université, AP-HM conception, 147, boulevard Baille, 13385 Marseille, France
| | - R Legré
- Service de chirurgie de la main et réparatrice des membres, Aix-Marseille université, AP-HM conception, 147, boulevard Baille, 13385 Marseille, France
| | - A Gay
- Service de chirurgie de la main et réparatrice des membres, Aix-Marseille université, AP-HM conception, 147, boulevard Baille, 13385 Marseille, France
| |
Collapse
|
12
|
Vernier M, Million M, Laugier D, Le Treut T, Brouqui P, Botelho-Nevers E. Macrophage activation syndrome associated with co-trimoxazole. Med Mal Infect 2013; 43:128-30. [PMID: 23537744 DOI: 10.1016/j.medmal.2013.02.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2013] [Revised: 02/20/2013] [Accepted: 02/20/2013] [Indexed: 11/18/2022]
Affiliation(s)
- M Vernier
- Faculté de Médecine, Université Aix-Marseille, Institut Hospitalo-Universitaire Méditerranée Infection, 27 Boulevard Jean-Moulin, 13385 Marseille Cedex 5, France
| | | | | | | | | | | |
Collapse
|
13
|
Kennedy DW. As the inflammatory nature of chronic rhinosinusitis (CRS) has become increasingly recognized, the use of steroids, both systemic and topical, as part of the disease management has significantly increased. Int Forum Allergy Rhinol 2012; 2:93-4. [PMID: 22489044 DOI: 10.1002/alr.21043] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
|
14
|
Quezada Chalita CT, Blancas Galicìa L, Jannière L, García G, Moncada Velez M, Cienfuegos D, del Río B, Casanova JL, Boisson-Dupuis S, Bustamante J, Lugo Reyes SO. Salmonella vertebral osteitis and sepsis in a girl with interferon gamma pathway deficiency. J Investig Allergol Clin Immunol 2012; 22:289-291. [PMID: 22812200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Affiliation(s)
- C T Quezada Chalita
- Clinical Immunology andAllergology Department, Federico Gomez Children's Hospital, Mexico City, Mexico
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
15
|
Akhaddar A, Baallal H, Elouennass M, Elgharbaoui H, Mahi M, Boucetta M. Combined Serratia liquefaciens and Mycobacterium tuberculosis in temporal osteitis with brain extension. Surg Infect (Larchmt) 2011; 12:329-31. [PMID: 21859338 DOI: 10.1089/sur.2010.100] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
16
|
De Feo M, Rossi G, Durante-Mangoni E, Cotrufo M, Della Corte A. Blunt trauma as a cause of rib chondro-osteitis: a case study. Ostomy Wound Manage 2011; 57:30-33. [PMID: 21701046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Rib chondro-osteitis is rare and usually caused by tuberculosis. A 63-year-old man presented with fever, painful swelling, and a burning sensation in the parasternal right submammary region. He had a history of cardiac interventions: percutaneous transcatheter angioplasty with stenting 1 year prior and coronary artery bypass graft surgery 16 years before; therefore, he was on dual antiplatelet therapy. He sustained blunt chest trauma 5 months before admission. A chest wall abscess was suspected and fine needle aspiration of the lesion revealed the presence of purulent fluid. Culture results were positive for Staphylococcus aureus and intravenous antibiotic therapy was started. Computed tomography showed a lesion involving the sternal, chondral, and proximal costal portions of the fourth, fifth, and sixth anterior costal arches. The patient was diagnosed with costal chondo-osteitis following blunt trauma. Following aggressive surgical debridement, the wound was managed with topical negative pressure therapy (constant -125 mm Hg setting with daily dressing changes). After 15 days, culture results were negative, the wound bed contained healthy granulation tissue, and the defect was surgically closed using a myocutaneous flap. No recurrence or complications have been observed during the 2-year follow-up. This is the first reported case of pyogenic, posttraumatic, costal chondro-osteitis secondary to a blunt trauma of the chest wall.
Collapse
Affiliation(s)
- Marisa De Feo
- Department of Cardiothoracic Sciences, Second University Naples, V. Monaldi Hospital, Naples, Italy
| | | | | | | | | |
Collapse
|
17
|
|
18
|
Kamaeva NG, Chugaev IP, Grinberg LM, Anisimova NA, Golubeva TV, Kamaev EI. [Clinical and epidemiological features of tuberculosis ostitis in BCG-vaccinated children]. Probl Tuberk Bolezn Legk 2009:16-20. [PMID: 19253678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
There has been a drastic increase in the incidence of ostitis in children since 2001. Comparison of current tuberculous ostitis (n = 70) and primary pulmonary tuberculosis (n = 60) in infants revealed significant clinical and epidemiological differences. Molecular genetic methods identified BCG M. bovis strain DNA in 13 (46.4%) intraoperative samples and 4 samples of obtained cultures from bone destruction foci. Isolation of BCG cultures and/or verification of BCG M. ovis DNA from the bone lesion focus by polymerase chain reaction is a significant criterion for verification of the BCG etiology of ostitis having a morphological pattern of productive necrotic tuberculosis in children.
Collapse
|
19
|
Abstract
We report a rare case of pyomyositis of the iliacus muscle in a 29-year-old woman. After 2 weeks of adequate treatment, secondary septic sacroiliitis occurred, a complication that had not been described previously. Pyomyositis of the iliacus muscle must be considered in the differential diagnosis of acute pain in the hip region.
Collapse
Affiliation(s)
- B Roca
- Infectious Disease Division, Hospital General of Castellon, University of Valencia, Spain.
| | | |
Collapse
|
20
|
Dupeux S, Pouchot J. [Osteomyelitis and septic arthritis. Vertebral osteomyelitis]. Rev Prat 2008; 58:1943-1951. [PMID: 19157213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- Sidonie Dupeux
- Université Paris-Descartes, service de médecine interne, Hôpital européen Georges-Pompidou, 75015 Paris, France
| | | |
Collapse
|
21
|
Affiliation(s)
- Manuel Etienne
- Infectious and Tropical Diseases Department, Rouen University Hospital, Rouen, France.
| | | | | | | | | |
Collapse
|
22
|
Matthews PC, Taylor A, Byren I, Atkins BL. Teicoplanin levels in bone and joint infections: Are standard doses subtherapeutic? J Infect 2007; 55:408-13. [PMID: 17825421 DOI: 10.1016/j.jinf.2007.07.012] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2007] [Revised: 07/11/2007] [Accepted: 07/12/2007] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Previously published data suggest that a trough serum teicoplanin level of > or = 20 mg/l is predictive of improved outcomes in serious staphylococcal infection. We investigated how dose regimen and patient characteristics impact on trough teicoplanin levels in patients with musculoskeletal infection, in order to help standardise teicoplanin use. METHODS We prospectively collected data for 141 clinically stable adults with bone and joint infection treated as outpatients with teicoplanin. Patients with end stage renal failure were excluded. RESULTS The most frequently used teicoplanin dose regimens were 400 mg or 600 mg i.v. once daily. Trough levels were available for 78% of episodes, of which 51% were > or = 20 mg/l. Unsurprisingly, a level of > or = 20 mg/l occurred more often with a dose of 600 mg than with lower doses (p=0.005). There was no significant relationship between teicoplanin level and age, body weight or creatinine clearance, but male gender was associated with lower trough levels than female gender (p=0.03). CONCLUSIONS These data suggest that teicoplanin levels of > or = 20 mg/l for bone and joint infection in stable adult patients are best achieved with a daily dose of at least 600 mg.
Collapse
Affiliation(s)
- Philippa C Matthews
- Department of Infectious Diseases and Microbiology, John Radcliffe Hospital, Oxford Radcliffe Hospitals NHS Trust, Headley Way, Headington, Oxford, OX3 9DU, UK.
| | | | | | | |
Collapse
|
23
|
Elouennass M, El Hamzaoui S, Frikh M, Zrara A, Chagar B, Ouaaline M. [Bacteriological aspects of osteitis in a university hospital]. Med Mal Infect 2007; 37:802-8. [PMID: 17628373 DOI: 10.1016/j.medmal.2007.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2007] [Accepted: 04/10/2007] [Indexed: 12/24/2022]
Abstract
INTRODUCTION The aim, of our retrospective study, was to determine the epidemiological and susceptibility profile of bacterial osteitis isolates in the Rabat Mohammed V Military Hospital, to optimize the probabilistic antibiotherapy. MATERIALS AND METHODS A study was made from August 2004 to December 2005. All the positive specimen for the etiologic diagnosis of osteitis and osteoarthritis were included. RESULTS During this period, 85 osteitis cases were documented. 123 isolates were collected. 31 cases of osteitis allowed for the isolation of at least 2 bacteria (36.5%). The Gram positive cocci rate was 54.5%, the Gram negative bacilli rate 39.8%, and the Gram positive bacilli rate 5.7%. The distribution by groups was staphylococcus spp 46.4%, enterobacteriaceae 25.2% and non-fermenting Gram negative bacilli 12.9%. The most frequently isolated species were Staphylococcus aureus (23,6%) followed by Pseudomonas aeruginosa (8.9%), and Klebsiella pneumoniae (5.7%). All the S. aureus isolates were susceptible to oxacillin and 30.8% of the coagulase negative staphylococci were resistant. The enterobacteriaceae resistance rates were 64.5% for clavulanic acid-amoxicillin and 16% for third generation cephalosporin and ciprofloxacin. The non-fermenting Gram negative bacilli resistance rate was 37.5% for ceftazidim, 62.5% for ticarcillin, and 12.5% for imipenem. CONCLUSION Our results show the potential efficient therapy for community osteitis, using the traditional association: methicillin-aminosides and oral relay with fluoroquinolones. In nosocomial osteitis, the antibiotherapy must be modulated according to the identification and an antibiogram.
Collapse
Affiliation(s)
- M Elouennass
- Service de microbiologie, hôpital militaire d'instruction Mohammed-V, Rabat, Maroc.
| | | | | | | | | | | |
Collapse
|
24
|
Colina M, Lo Monaco A, Khodeir M, Trotta F. Propionibacterium acnes and SAPHO syndrome: a case report and literature review. Clin Exp Rheumatol 2007; 25:457-60. [PMID: 17631745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
OBJECTIVE To describe the presence of Propionibacterium acnes (P. acnes) in a series of patients with SAPHO syndrome in which a bone biopsy has been carried out and to discuss the results comparing them to the data described in the literature. METHODS In 6 out of 56 patients with SAPHO syndrome, a bone biopsy from osteitic lesion was carried out. This invasive investigation was performed only in those cases in which it was necessary to clarify the diagnosis. RESULTS Of the 6 biopsies processed, P. acnes was isolated in only one case. No other infectious agents were identified. CONCLUSION P. acnes is not often found in bone lesions of SAPHO syndrome. A bone biopsy may represent a procedure useful for corroborating the diagnosis or for excluding other diseases only in specific cases.
Collapse
Affiliation(s)
- M Colina
- Sezione di Reumatologia, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Ferrara, and Dipartimento di Patologia ed Oncologia, Azienda Ospedaliera/Universitaria Arcispedale Sant'Anna, Ferrara, Italy.
| | | | | | | |
Collapse
|
25
|
Abstract
Mycoplasma hominis has been associated with pelvic inflammatory illness, postpartum and neonatal infections and respiratory tract diseases. It is rarely isolated from patients with other infections. Reported here is a case of tibial osteitis that occurred in a 16-year-old immunocompetent man. Clinical and laboratory findings improved under treatment with clindamycin and fluoroquinolones.
Collapse
Affiliation(s)
- F Méchaï
- Department of Infectious Diseases, CHU de Poitiers, rue la milétrie, 86021, Poitiers cedex, France.
| | | | | | | | | | | |
Collapse
|
26
|
Abstract
We describe a case of osteitis caused by a new and unusual Clostridium species, Clostridium amygdalinum, an environmental, moderately thermophilic bacterium. This is the first documented report of human infection caused by this organism.
Collapse
Affiliation(s)
- Jean-Philippe Carlier
- Centre National de Référence des Bactéries Anaérobies et du Botulisme, Institut Pasteur, 25-28 Rue du Dr. Roux, 75724 Paris Cedex 15, France.
| | | | | | | | | |
Collapse
|
27
|
Biasotto M, Chiandussi S, Dore F, Rinaldi A, Rizzardi C, Cavalli F, Di Lenarda R. Clinical aspects and management of bisphosphonates-associated osteonecrosis of the jaws. Acta Odontol Scand 2006; 64:348-54. [PMID: 17123911 DOI: 10.1080/00016350600844360] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE An increasing incidence of osteonecrosis of the jaws (ONJ) in patients treated with intravenous bisphosphonates has been reported in the literature. The aim of this study was to evaluate the clinical aspects, diagnostic investigations, and management of ONJ associated with bisphosphonates in a series of 12 patients. METHOD Our patients included 1 asymptomatic and 11 symptomatic subjects. For the symptomatic patients, the osteonecrosis was diagnosed through histological investigations of exposed bone that showed avascular and necrotic tissue with inflammatory infiltrate. The patients were complaining of swelling, fever, and bone exposure involving the jaws. The asymptomatic patient presented as an occasional finding during a routine dental examination and the necrosis was confirmed on the basis of imaging investigations. Radiographic, scintigraphic, and microbiological examinations were carried out for all patients. Treatment included antibiotics, minor surgical interventions, and hyperbaric oxygen therapy. RESULTS The radiological investigations revealed osteolytic areas and the scintigraphy demonstrated increased bone metabolism. The microbiological analysis showed pathogenic micro-organisms in the majority of patients. Therapy was useful in obtaining short-term symptomatic relief. CONCLUSIONS Histological, radiological, nuclear medicine, and microbiological investigations are important diagnostic tools for patients with bisphosphonates-associated osteonecrosis of the jaws. However, a long-term follow-up is necessary if we are to better understand the treatment outcome.
Collapse
|
28
|
Atadokpede F, Gnangnon TA, Lawson M, Adegbidi H, Yedomon H, Co-Ango-Padonou F. [Gangrene with pyocyanic infection and osteitis in a patient presenting endemic Kaposi's sarcoma: case report from Benin]. Med Trop (Mars) 2006; 66:491-3. [PMID: 17201298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Infectious complications involving chronic skin ulcers have been well document but superinfection of ulcerated Kaposi's sarcoma nodules by multiresistant germs has rarely been reported. The purpose of this report is to describe a case in a 57-year-old HIV-negative black African man. Kaposi's sarcoma nodules appeared suddenly and spread rapidly on the right leg with pain and fever. Onset was associated with a laboratory-documented inflammatory syndrome and two metatarsal bone defects. Amputation of the leg was required due to the presence of multiresistant germs: Pseudomonas aeruginosa, multiresistant Staphylococus aureus and Candida albicans. Occurrence of bone lesions beneath superinfected Kaposi's sarcoma nodules poses a challenge for differential diagnosis of the underlying cause, i.e. either Kaposi's sarcoma or infectious osteitis. Since etiologic diagnosis of bone defects requires facilities that are rarely available in an African hospital, surgical treatment is the only alternative if antimicrobial therapy fails.
Collapse
Affiliation(s)
- F Atadokpede
- L'Hôpital d'instruction des armées, Cotonou, Bénin.
| | | | | | | | | | | |
Collapse
|
29
|
Kobayashi N, Bauer TW, Tuohy MJ, Lieberman IH, Krebs V, Togawa D, Fujishiro T, Procop GW. The comparison of pyrosequencing molecular Gram stain, culture, and conventional Gram stain for diagnosing orthopaedic infections. J Orthop Res 2006; 24:1641-9. [PMID: 16788984 DOI: 10.1002/jor.20202] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
We have developed a combined real-time PCR and pyrosequencing assay that successfully differentiated the vast majority of gram-positive and gram-negative bacteria when bacterial isolates were tested. The purpose of this study was to evaluate this assay on clinical specimens obtained from orthopedic surgeries, and to prospectively compare the results of "molecular Gram stain" with culture and conventional direct Gram stain. Forty-five surgical specimens were obtained from patients who underwent orthopedic surgery procedures. The DNA was extracted and a set of broad-range PCR primers that targeted a part of the 16S rDNA gene was used for pan-bacterial PCR. The amplicons were submitted for pyrosequencing and the resulting molecular Gram stain characteristics were recorded. Culture and direct Gram staining were performed using standard methods for all cases. Surgical specimens were reviewed histologically for all cases that had a discrepancy between culture and molecular results. There was an 86.7% (39/45) agreement between the traditional and molecular methods. In 12/14 (85.7%) culture-proven cases of bacterial infection, molecular Gram stain characteristics were in agreement with the culture results, while the conventional Gram stain result was in agreement only for five cases (35.7%). In the 31 culture negative cases, 27 cases were also PCR negative, whereas 4 were PCR positive. Three of these were characterized as gram negative and one as gram positive by this molecular method. Molecular determination of the Gram stain characteristics of bacteria that cause orthopedic infections may be achieved, in most instances, by this method. Further studies are necessary to understand the clinical importance of PCR-positive/culture-negative results.
Collapse
Affiliation(s)
- Naomi Kobayashi
- Department of Anatomic Pathology, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA
| | | | | | | | | | | | | | | |
Collapse
|
30
|
Suzuki Y, Aoki K, Saito H, Umeda M, Nitta H, Baron R, Ohya K. A tumor necrosis factor-alpha antagonist inhibits inflammatory bone resorption induced by Porphyromonas gingivalis infection in mice. J Periodontal Res 2006; 41:81-91. [PMID: 16499710 DOI: 10.1111/j.1600-0765.2005.00812.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND A tumor-necrosis factor-alpha (TNF-alpha) antagonist, the WP9QY peptide, was designed based on the crystal structure of the TNF-beta/TNF-receptor complex in order to overcome the disadvantages of macromolecules such as antibodies or soluble receptors by reducing the molecular size of TNF-alpha antagonists. It efficiently antagonizes the effect of TNF-alpha binding to the TNF receptor (I). OBJECTIVES The aim of the present study was to assess the effects of the WP9QY peptide on inflammatory bone resorption and osteoclast formation in the periodontal pathogen-infection model. MATERIAL AND METHODS Live Porphyromonas gingivalis ATCC 33277 was injected once daily for 6 days into the subcutaneous tissue overlying the calvariae in mice. At the same time, the WP9QY peptide (1 mg/kg, 2 mg/kg or 4 mg/kg per day) was administrated via osmotic minipumps for 7 days. Histological observations and the radiological assessments of the calvariae as well as bone mineral density measurements were performed. RESULTS The WP9QY peptide significantly prevented the P. gingivalis-induced reduction in the bone mineral density at the calvariae. The histomorphometric assessments revealed the inhibitiory effects of the WP9QY peptide on the P. gingivalis-induced increase in the number of the inflammatory cells and in the area of sagittal suture at the calvariae. Furthermore, there was also an inhibitory effect on the P. gingivalis-induced increase in the number of osteoclasts per unit bone surface at the calvariae. CONCLUSION These results suggest that the strategy for the design to reduce the molecular size of the TNF-alpha antagonists would be beneficial for the treatment of local inflammatory bone loss induced by periodontal-pathogen infection.
Collapse
Affiliation(s)
- Yoshifumi Suzuki
- Section of Periodontology, Graduate School, Tokyo Medical and Dental University, Japan.
| | | | | | | | | | | | | |
Collapse
|
31
|
Adékambi T, Stein A, Carvajal J, Raoult D, Drancourt M. Description of Mycobacterium conceptionense sp. nov., a Mycobacterium fortuitum group organism isolated from a posttraumatic osteitis inflammation. J Clin Microbiol 2006; 44:1268-73. [PMID: 16597850 PMCID: PMC1448615 DOI: 10.1128/jcm.44.4.1268-1273.2006] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2005] [Revised: 11/23/2005] [Accepted: 01/25/2006] [Indexed: 11/20/2022] Open
Abstract
A nonpigmented rapidly growing mycobacterium was isolated from wound liquid outflow, bone tissue biopsy, and excised skin tissue from a 31-year-old woman who suffered an accidental open right tibia fracture and prolonged stay in a river. The three isolates grew in 3 days at 24 to 37 degrees C. 16S rRNA sequence analyses over 1,483 bp showed that they were identical and shared 99.7% (4-bp difference) sequence similarity with that of Mycobacterium porcinum, the most closely related species. Partial rpoB (723 bp) sequence analyses showed that the isolates shared 97.0% sequence similarity with that of M. porcinum. Further polyphasic approaches, including biochemical tests, antimicrobial susceptibility analyses, and hsp65, sodA, and recA gene sequence analysis, as well as % G+C determination and cell wall fatty acid composition analysis supported the evidence that these isolates were representative of a new species. Phylogenetic analyses showed the close relationship with M. porcinum in the Mycobacterium fortuitum group. The isolates were susceptible to most antibiotics and exhibited evidence for penicillinase activity, in contrast to M. porcinum. We propose the name Mycobacterium conceptionense sp. nov. for this new species associated with posttraumatic osteitis. The type strain is D16(T) (equivalent to CIP 108544(T) and CCUG 50187(T)).
Collapse
Affiliation(s)
- Toïdi Adékambi
- Unité des Rickettsies, Faculté de Médecine, 27, Boulevard Jean Moulin, 13385 Marseille Cedex 05, France
| | | | | | | | | |
Collapse
|
32
|
Abstract
Propionibacterium acnes, a common skin organism, is most notably recognized for its role in acne vulgaris. It also causes postoperative and device-related infections and has been associated with a number of other conditions such as sarcoidosis and synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO), although its precise role as a causative agent remains to be determined. Propionibacterium acnes produces a number of virulence factors and is well known for its inflammatory and immunomodulatory properties. Recent publication of the P. acnes genome should provide further insights into the pathogenic capabilities of the organism and potentially lead to the development of new therapies.
Collapse
Affiliation(s)
- A L Perry
- Biomedical Sciences, School of Life and Heath Sciences, Aston University, Birmingham, UK
| | | |
Collapse
|
33
|
Wilk I, Ekiel A, Kłuciński P, Krzysztoń-Russjan J, Martirosian G. Characterization of coagulase-negative staphylococci isolated from cases of ostitis and osteomyelitis. Pol J Microbiol 2006; 55:175-8. [PMID: 17338269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023] Open
Abstract
Coagulase-negative staphylococci (CoNS) are often responsible for cases of chronic ostitis and osteomyelitis, especially in patients with orthopedic prosthesis/implants. The aim of this study was to characterize CoNS isolated from ambulatory patients with chronic ostitis/osteomyelitis and to compare them by PFGE (pulsed-field gel electrophoresis). Out of 263 bacterial strains isolated from wounds/sinuses of patients with chronic ostitis/osteomylitis, 41 were identified as CoNS. Twenty methicillin-resistant strains were selected for this study. Our results confirm the superior performance of cefoxitin disk test to detect methicillin resistance in heterogenous population of CoNS. High level of antibiotic resistance was observed among the studied strains: majority of CoNS were resistant to tetracycline and erythromycin and also to clindamycin and ciprofloxacin. Importantly, in 15 out of 20 studied CoNS different phenotypes of macrolides, lincosamides and streptogramin--MLS resistance was suggested. Eight strains demonstrated resistance to both erythromycin and clindamycin, suggesting constitutive MLS(B) phenotype. Seven remaining strains presented resistance to erythromycin and susceptibility to clindamycin with negative D-test results, suggesting the presence of macrolides and streptogramines type A efflux pump. All studied strains were sensitive to vancomycin (MIC 0.75-2.0 microg/ml), teicoplanin (MIC 0.125-8.0 microg/ml), and quinupristin/dalfopristin (MIC 0.19-1.0 microg/ml). No clonal relatedness was observed in PFGE patterns.
Collapse
Affiliation(s)
- Iwona Wilk
- Department of Medical Microbiology, Medical University of Silesia, Katowice, Poland
| | | | | | | | | |
Collapse
|
34
|
Cairó M, Calbo E, Gómez L, Matamala A, Asunción J, Cuchi E, Garau J. Foreign-body osteoarticular infection by Brucella melitensis: A report of three cases. J Bone Joint Surg Am 2006; 88:202-4. [PMID: 16391267 DOI: 10.2106/jbjs.d.02656] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Mireia Cairó
- Services of Infectious Diseases, Department of Medicine, Hospital Mútua de Terrassa, University of Barcelona, Plaza Dr Robert, 5, 08221 Terrassa, Barcelona, Spain
| | | | | | | | | | | | | |
Collapse
|
35
|
Negroni R, López Daneri G, Arechavala A, Bianchi MH, Robles AM. [Clinical and microbiological study of mycetomas at the Muñiz hospital of Buenos Aires between 1989 and 2004]. Rev Argent Microbiol 2006; 38:13-8. [PMID: 16784127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023] Open
Abstract
This work presents clinical, microbiological and outcome data collected from 76 patients with mycetomas at the Muñiz Hospital from 1989 to 2004. Forty-nine patients were male and 27 female; the mean age was 43.4 years. The majority of the patients acquired the infection in Argentina: the most affected provinces were Santiago del Estero with 31 cases, and Chaco with 11; 8 cases came from other countries (Bolivia 6 and Paraguay 2). The mean evolution of the disease was 9.2 years. The most frequently observed sites were: feet 63 cases, ankles 3, and knees 2. Forty-eight patients had bone lesions and 5, adenomegalies. The following etiological agents were identified: Madurella grisea 29 cases, Actinomadura madurae 26, Scedosporium apiospermum 5, Nocardia brasiliensis 5, Acremonium spp. 4 (Acremonium falciforme 2, Acremonium kiliense 1, Acremonium recifei 1), Madurella mycetomatis 3, Fusarium solani 2, Nocardia asteroides 1 and Streptomyces somaliensis 1. The main drugs used in the treatments were ketoconazole and itraconazole for maduromycotic mycetomas, and cotrimoxazole associated with ciprofloxacin or amikacin for actinomycetic mycetoma. Six patients had to undergo amputation, 25 cases achieved complete clinical remission and 34 showed remarkable improvement.
Collapse
Affiliation(s)
- R Negroni
- Unidad Micología, Hospital Francisco Javier Muñiz. Uspallata 2272, (1282) Buenos Aires, Argentina.
| | | | | | | | | |
Collapse
|
36
|
Negroni R, López Daneri G, Maiolo E, Arechavala A. [Clinical cases in medical mycology. Case No. 19]. Rev Iberoam Micol 2005; 22:179-80. [PMID: 16309359 DOI: 10.1016/s1130-1406(05)70038-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- Ricardo Negroni
- Unidad de Micología, Hospital de Infecciosas Francisco Javier Muñiz, Buenos Aires, Argentina.
| | | | | | | |
Collapse
|
37
|
Abstract
OBJECTIVE This study was designed to investigate the effectiveness of using various devices and manual procedures for cleansing bacterially contaminated bone tissue and to assess the risk of iatrogenic bacterial seeding in deep bone layers. METHODS In an in vitro model, human femoral heads were contaminated with Escherichia coli and then cleansed with pulsatile high-pressure lavage, pulsatile low-pressure lavage, manual rinsing with bulb syringe lavage, or manual rinsing with combined brush cleaning. The numbers of bacteria that remained or those that were introduced by the rinsing procedures were quantitatively determined at depths of 0 to 1 cm, 1 to 2 cm, and 2 to 3 cm. RESULTS Both pulsatile high-pressure lavage and brush cleaning were more effective than pulsatile low-pressure lavage and bulb syringe lavage for the purpose of surface cleansing. The differences were highly significant (P < 0.001). There was no significant difference in the decontaminating effect between pulsatile high-pressure lavage and brush cleaning (P = 0.24). The bacterial contamination attributable to the cleansing procedure, as measured at tissue depths of 1 to 2 cm and 2 to 3 cm, was significantly higher after pulsatile high-pressure lavage and after pulsatile low-pressure lavage than it was after bulb syringe lavage or brush cleaning (P < 0.001). CONCLUSION In this in vitro investigation of cancellous bone, the brush cleansing was just as effective for getting rid of bacterial contamination as pulsatile high-pressure lavage, and carries a significantly lesser risk of iatrogenic bacterial seeding into deeper tissue layers. In the light of these promising results obtained by the cleansing of cancellous bone contaminated with bacteria, it would be desirable to perform supplementary in vitro and in vivo investigations into brush cleansing.
Collapse
Affiliation(s)
- Thomas Kalteis
- Department of Orthopaedic Surgery, University of Regensburg, Kaiser-Karl V.-Allee 3, D-93077 Bad Abbach, Germany.
| | | | | | | | | | | | | |
Collapse
|
38
|
Soluri A, Massari R, Trotta C, Stella S, Cavaiola S, Capriotti G, Di Santo GP, Di Paolo ML, Mangano AM, Liberatore M, Micarelli A, Bruzzese A, Pasta V. High resolution mini-gammacamera and 99mTc [HMPAO] - leukocytes for diagnosis of infection and radioguided surgery in diabetic foot. G Chir 2005; 26:246-50. [PMID: 16329767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Discovery of osteitis may be delayed because of late appearance of X-ray signs in patients with diabetic foot. Scintigraphy with labelled leukocytes is able to detect flogosis but often misses bone involvement, due to inadequate resolution of Anger camera, the commonest detector used in nuclear medicine. Radioguided surgery and biopsy with high resolution scintigraphy (HRS) started to be studied since 2000: although this method had never been tested for planning and guiding diabetic foot surgery, in our opinion it can help early diagnosis and surgical treatment of diabetic foot. Five patients with diabetic foot and suspected infection were studied with standard 99mTc [HMPAO]-leukocyte scan. In the same patients 2 mm spatial resolution HRS was performed 24 hours after administration of labelled WBC, using our inch2 field-of-view portable mini-gammacamera. Operations were done just after the 24h scan and were guided with the portable high resolution device in the four patients who showed positive scan. Scintigraphy with Anger camera and HRS were positive in four patients. HRS showed a bar-shaped radioactivity corresponding to small phalanges, close to the main inter-digital hot spot. The presence of osteitis on phalanges that had been shown by HRS was confirmed at surgery, that was successfully driven with the high resolution mini-camera. In conclusion HRS is able to diagnose early osteitis of diabetic foot and to guide diabetic foot surgery.
Collapse
Affiliation(s)
- A Soluri
- Istituto di ingegneria Biomedica (ISIB) - CNR, Sezione di Roma
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
39
|
Mouas H, Lutsar I, Dupont B, Fain O, Herbrecht R, Lescure FX, Lortholary O. Voriconazole for Invasive Bone Aspergillosis: A Worldwide Experience of 20 Cases. Clin Infect Dis 2005; 40:1141-7. [PMID: 15791514 DOI: 10.1086/428734] [Citation(s) in RCA: 101] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2004] [Accepted: 12/07/2004] [Indexed: 01/23/2023] Open
Abstract
UNLABELLED BACKGROUND; Bone aspergillosis remains a rare but potentially devastating fungal disease. Although voriconazole is effective for invasive pulmonary aspergillosis, evidence of its efficacy for aspergillosis located in bone is limited. METHODS We report our experience with voriconazole in 4 cases of invasive bone aspergillosis. In addition, all cases of probable and definite bone aspergillosis from the Pfizer clinical database were reviewed and analyzed to determine the safety and efficacy of voriconazole treatment. Global response was evaluated at the end of therapy on the basis of a composite assessment of overall clinical, radiological, and mycological responses. RESULTS Twenty patients are described, of whom 18 had definite bone involvement diagnosed (spondylodiskitis in 9, sternum/rib osteomyelitis in 6, and peripheral bone involvement in 5). Of 20 patients, 14 were immunocompromised. Oral or intravenous voriconazole was given as salvage therapy for 18 patients; 2 patients received voriconazole as first-line therapy. Median duration of voriconazole treatment was 83.5 days (range, 4-395 days). Global response at end of therapy was satisfactory in 11 (55%) of 20 patients, including complete responses in 4 patients and partial responses in 7 patients; there were no relapses of infection in the 4 patients with complete response to therapy with voriconazole. Treatment was generally well tolerated. CONCLUSIONS Long-term voriconazole treatment is a new therapeutic option for invasive aspergillosis with bone involvement.
Collapse
Affiliation(s)
- Houria Mouas
- Service des Maladies Infectieuses et Tropicales, Hôpital Necker, Paris, France
| | | | | | | | | | | | | |
Collapse
|
40
|
Abstract
AIM To study the bacterial aetiology of acute osteoarticular infections in children and to analyse the efficiency of culture methods. METHODS Bacteriological data of 407 cases of clinically suspected osteoarticular infections affecting 406 children hospitalized in an orthopaedic surgery department between 1999 and 2002 were retrospectively reviewed. RESULTS Bacterial cultures from clinical specimens were positive in 74 cases (18%): 38 cases of septic arthritis and 36 cases of bone infections (osteitis, osteomyelitis or osteoarthritis). The use of liquid medium bottles to grow bacteria from articular fluids increased the rate of positive cultures compared to the use of standard solid media (p = 0.0001). The most commonly recovered pathogen was Staphylococcus aureus (44%) followed by Kingella kingae (14%), Streptococcus pyogenes (10%) and Streptococcus pneumoniae (10%). K. kingae was most frequently isolated among children under 36 mo of age (p = 0.0003), whereas S. aureus was most frequently isolated among children over 36 mo (p = 0.0015). CONCLUSION By improving our culture method, we observed a recrudescence of isolation of K. kingae, but S. aureus remains the main pathogen isolated from osteoarticular infections in children. This finding is useful for the adaptation of a probabilistic antibiotic treatment of these infections.
Collapse
Affiliation(s)
- K Moumile
- Laboratoire de Microbiologie, Hôpital Necker-Enfants Malades, Paris, France
| | | | | | | | | | | |
Collapse
|
41
|
Laloum E, Zeller V, Graff W, Aerts J, Chazerain P, Mamoudy P, Ziza JM, Desplaces N. Salmonella typhi osteitis can mimic tuberculosis. A report of three cases. Joint Bone Spine 2005; 72:171-4. [PMID: 15797499 DOI: 10.1016/j.jbspin.2003.12.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2003] [Accepted: 12/18/2003] [Indexed: 11/27/2022]
Abstract
We report three cases of Salmonella typhi osteitis. One patient was an immunocompetent woman with a single focus of osteitis, another had heterozygous sickle cell disease with multifocal osteitis, and the remaining patient had acute discitis. Tuberculosis was considered in all three patients, based on origin from an endemic area (sub-Saharan Africa), a chronic course in the first two patients, and granulomas in a biopsy specimen from one patient.
Collapse
Affiliation(s)
- Etty Laloum
- Internal Medicine and Rheumatology Department, Diaconesses-Croix Saint-Simon Hospital, 125 rue d'Avron, 75020 Paris, France
| | | | | | | | | | | | | | | |
Collapse
|
42
|
Abstract
OBJECTIVE To report a case of spinal intramedullary blastomycosis causing myelopathy. CLINICAL PRESENTATION An otherwise healthy 13-year-old patient was diagnosed with respiratory North American blastomycosis. She subsequently received a five-month course of itraconazole with presumed resolution of the infection. The patient presented again at 14 years of age with a lumbar myelopathy. Magnetic resonance imaging revealed an intramedullary lesion of 1 cm diameter at the level of T12-L1. INTERVENTION A T12-L1 laminectomy was performed with a gross total resection of the lesion. Pathological examination and microbiological culture of the specimen was consistent with blastomycosis. Postoperatively, the patient was placed on a five week course of amphotericin B. The patient showed substantial improvement in neurological function. CONCLUSION Blastomycosis can present as an isolated intramedullary lesion causing compromised function. It should be considered in the differential diagnosis of a patient with a myelopathy and previously recognized blastomycosis. The prognosis is good with surgical resection.
Collapse
Affiliation(s)
- A M Parr
- Division of Neurosurgery, University of Manitoba, Winnipeg, MB, Canada
| | | |
Collapse
|
43
|
Dave S, Nori AV, Thappa DM, Siddaraju N. Leprous osteitis presenting as bone cyst and erosions. Dermatol Online J 2004; 10:17. [PMID: 15347499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023] Open
Abstract
A 30-year-old man presented to the Hansen outpatient department with swelling and ulceration of toes for 2 months and swelling of the right fifth and fourth fingers and the left second finger for 1 month. In addition to skin lesions of lepromatous leprosy (subpolar type), there was nontender, non-fluctuant swelling of the right fifth and fourth fingers and left second finger. Skin over the right fifth finger showed sinus-like openings with associated purulent discharge. He also had swelling and ulceration of second left toe. Slit-skin smear (SSS) showed a bacterial index of 6+ from the ear lobes and cutaneous nodules, 4+ from the patch, and 3+ from normal skin. Modified Ziehl-Neelsen staining of the discharge extruding from the sinuses on the right fifth finger also showed abundant acid-fast bacilli. Radiography of the hands and feet showed lytic lesions in the distal epimetaphyseal region o proximal phalanx of the right fifth finger and left second finger and erosion of distal end of proximal phalanges of both second toes. Histopathological examination of biopsy specimen from the patch (back) showed features of lepromatous leprosy, and Fite-Faraco stain for tissue acid-fast bacteria (AFB) was strongly positive. Fine-needle-aspiration cytology (FNAC) from the lytic lesion in the bone also showed predominantly foamy macrophages with strongly positive staining for AFB with a few interspersed lymphocytes, epithelioid cells and Langhans giant cells. On the basis of these features, a clinical diagnosis of subpolar lepromatous leprosy with leprous osteitis was made. In today's clinical era of improved case detection and prompt treatment with effective multidrug regimens, advanced bone changes are rarely encountered. We describe this case of lepromatous leprosy that developed cavitating lesions of the phalanges of the hand, seen on x-ray as well-defined bone cyst and erosions.
Collapse
Affiliation(s)
- Shriya Dave
- Department of Dermatology and STD, Jipmer, Pondicherry, India
| | | | | | | |
Collapse
|
44
|
Abstract
Osteomyelitis is a term used to describe bone infection. As a complication, it can occur after open bone fracture and is associated with the implantation of foreign material. Acute disease after surgery starts after about 7 days to 4 weeks, and is characterized by a suppurative infection. Chronic infection sometimes manifests even years after surgery with a purulent sinus tract. Diagnosis is based on clinical signs, microbiological culture, histological evidence of the presence of granulocytes, and on radiological signs of osteomyelitis. However, it is sometimes difficult to distinguish between merely soft tissue involvement and osteomyelitis, especially in the presence of implanted material. Management includes a thoroughly surgical débridement and antibiotic treatment. Though frequently used, bacterial cultures of swabs of superficial wounds or fistulas are often misleading, whereas needle biopsy or surgical sampling with at least three tissue samples provides more reliable information. Because of the prolonged antibiotic treatment, it is mandatory for a successful outcome to culture the microorganism in order to determine antibiotic susceptibility. In addition to conventional radiological approaches, magnetic resonance imaging has become useful for the diagnosis of osteomyelitis. Despite significant progress in antibiotic therapy and orthopedic surgery, osteomyelitis remains difficult to treat and often relapses, even after years.
Collapse
Affiliation(s)
- U Flückiger
- Klinik für Infektiologie, Kantonsspital, Universitätskliniken Basel, Switzerland.
| | | |
Collapse
|
45
|
Abstract
We report a case of tuberculous dactylitis that was unusual in two regards: the bone was infected, and the course was prolonged and atypical, with a spontaneous clinical remission followed by a recurrence that led to the diagnosis.
Collapse
Affiliation(s)
- Jean-Marie Vanmarsenille
- Physical Medicine and Rehabilitation Department, Cliniques universitaires Saint-Luc, avenue Hippocrate 10, 1200 Brussels, Belgium.
| | | | | | | |
Collapse
|
46
|
Abstract
Prevotella bivia is mainly associated with endometritis. The case of a patient with paronychia in a thumb due to P. bivia resulting in osteitis and amputation is reported. The species was not acknowledged in the first bacterial culture 2 weeks before surgery.
Collapse
Affiliation(s)
- Kristian Riesbeck
- Department of Medical Microbiology, Malmö University Hospital, Lund University, S-205 02 Malmö, Sweden.
| |
Collapse
|
47
|
Moranne O, Wallet F, Pagniez D, Dequiedt P, Boulanger E. Intraperitoneal infusion allows therapeutic plasma levels of cefepime. Perit Dial Int 2003; 23:603-5. [PMID: 14703207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023] Open
Affiliation(s)
- Olivier Moranne
- Department of Nephrology, Hospital A Calmette, Lille, France.
| | | | | | | | | |
Collapse
|
48
|
Diebold P, Humbert J, Djientcheu VDP, Gudinchet F, Rilliet B. Salmonella epidural abscess in sickle cell disease: failure of the nonsurgical treatment. J Natl Med Assoc 2003; 95:1095-8. [PMID: 14651377 PMCID: PMC2594685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
In patients suffering from sickle cell disease (SCD), bone is a preferred site of infection. We report the case of a five-year-and-eight-month-old black African boy with homozygous-SS disease who developed a cranial epidural abscess. This intracranial infectious complication originated from a Salmonella enteritidis osteitis of the frontal bone. Antibiotic treatment alone did not control the disease, so surgery was necessary to remove the necrotic bone and to evacuate the epidural pus. The numerous factors interfering with normal healing of a septic focus in sickle cell anemia, particularly in this previously undescribed intracranial complication, emphasize the need for a primary and early surgical treatment in similar situations.
Collapse
Affiliation(s)
- Patrick Diebold
- Service de Pédiatrie, Hôpital du Chablais, CH 1860 Aigle, Switzerland
| | | | | | | | | |
Collapse
|
49
|
Abstract
Despite the common occurrence of musculoskeletal complaints in patients with infective endocarditis, infectious osteoarticular complications are diagnosed infrequently. Moreover, although enterococcal infection is the third most common cause of infective endocarditis, infectious osteoarticular complications are rare. We report a case of disk space infection in a patient with enterococcal endocarditis. Blood cultures and an L3-4 aspirate grew Enterococcus faecalis, and transthoracic echocardiography revealed a large vegetation on the posterior mitral valve leaflet. The osteoarticular infection resolved with antimicrobial treatment, but worsening heart failure necessitated valve replacement surgery. The patient had an uneventful recovery with no evidence of recurrence or complications. A review of the medical literature from 1966 through 1998 identified 13 additional cases, only 8 of which provided clinical and treatment data. We present the clinical and laboratory findings reported in these cases, along with data from our patient. This report highlights the rare occurrence of osteoarticular infection in the setting of enterococcal endocarditis and emphasizes early recognition and treatment.
Collapse
Affiliation(s)
- Nicholas E Vlahakis
- Division of Pulmonary and Critical Care Medicine and Internal Medicine, Mayo Clinic, Rochester, Minn 55905, USA.
| | | | | | | |
Collapse
|
50
|
Abstract
Pasteurella multocida is usually responsible for local infections occurring after animal bites. It can also be responsible for meningitis in infants. A three-month old infant was admitted to hospital with a diagnosis of bacterial meningitis and hip osteitis. Cultures of cerebrospinal fluid, blood and joint liquid were positive to Pasteurella multocida. Licking from the family dog was the transmission mode in this case. Despite initial neurological complications, clinical evolution was favourable after three weeks of intravenous antibiotic therapy followed by an oral administration for three months. Pasteurella multocida meningitis is rare in infants. It can be associated with arthritis, osteitis and septicaemia. Besides animal bites, licking is also a mode of contamination.
Collapse
Affiliation(s)
- I Perrin
- Service de pédiatrie, CHI Poissy-Saint-Germain, site de Poissy, 10, rue du Champ-Gaillard, 78300 Poissy, France.
| | | | | | | |
Collapse
|