足と足首の臨床研究

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Hematogenous Osteomyelitis in an Adult: From Axilla to Metatarsal-A Case Report

Christopher R Hood JR and David E Samuel

Hematogenous osteomyelitis is an uncommon and often challenging etiology to diagnose and treat. This pathology has a bimodal population spread between children and adults, the former making up majority of the cases. Each population has its own challenges in diagnosis and treatment with specific characteristics found been children and adult hematogenous osteomyelitis. In the adult population, bacterial seeding to the distal extremities is rare. Often the inciting event is traumatic in nature with direct seeding. However, in this paper the authors describe their experience with acute hematogenous osteomyelitis of the forth metatarsal in an adult female who just months before was treated for an axillary abscess. Further, diagnostic criteria from physical exam to laboratory and imaging studies, as well as treatments are discussed.