ABSTRACT
We report a case of osteitis in a 46-year-old patient, caused by Pseudomonas stutzeri following an open fracture of the left femur. The patient was treated with 1g ceftazidime every 8 hours for two weeks combined with 160 mg/day of amikacin for 10 days. A second-line ofloxacin oral treatment at 400 mg/day was then given during 4 weeks. Surgical treatment consisted in debridement of the fracture region. Sterilization of the fracture region led to an osteosynthesis by blade plate and bone graft. The result was favorable.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Ceftazidime/analogs & derivatives , Monobactams/therapeutic use , Pseudomonas Infections/diagnosis , Pseudomonas Infections/drug therapy , Pseudomonas stutzeri , Ceftazidime/therapeutic use , Drug Administration Schedule , Femoral Fractures/complications , Humans , Male , Middle Aged , Treatment OutcomeSubject(s)
Arm/parasitology , Echinococcosis/diagnosis , Muscular Diseases/parasitology , Adult , Arm/diagnostic imaging , Echinococcosis/diagnostic imaging , Humans , Magnetic Resonance Imaging , Male , Muscular Diseases/diagnostic imaging , Soft Tissue Infections/diagnostic imaging , Soft Tissue Infections/parasitology , UltrasonographyABSTRACT
The authors report a case of metacarpal metastasis in a young woman, diagnosed as a dorsal hand tumor, revealing a bronchial adenocarcinoma. Acrometastases are rare. The distal location makes biopsy easy. Treatment is palliative with radiation or amputation; the prognosis is poor.
