Propionibacterium acnes Osteomyelitis after Intraosseous Cannulation in a Child.
Keegan A ColeSamik BanerjeeJohn A DipretaPublished in: Case reports in orthopedics (2019)
Propionibacterium acnes osteomyelitis secondary to intraosseous (IO) cannulation is not well documented in literature. We report here an extremely rare incident of P. acnes tibial osteomyelitis at the IO access site, in a 4-year-old child, who presented 3 months after an episode of fluid resuscitation for streptococcal toxic shock syndrome necessitating irrigation and debridement and prolonged antibiotic therapy. We advocate for heightened awareness of osteomyelitis in patients with continued pain after IO cannulation. Low-grade persistent symptoms may be caused by less virulent organisms and may dictate need for early magnetic resonance imaging studies for diagnosis and treatment planning.
Keyphrases
- low grade
- extracorporeal membrane oxygenation
- magnetic resonance imaging
- ultrasound guided
- high grade
- mental health
- cardiac arrest
- systematic review
- chronic pain
- cardiovascular disease
- pain management
- computed tomography
- neuropathic pain
- magnetic resonance
- type diabetes
- depressive symptoms
- contrast enhanced
- spinal cord
- bone marrow
- septic shock