An unusual presentation, novel treatment with Meropenem PMMA beads and complications of Klebsiella osteomyelitis in a healthy adult- A case report

  • Kumar Amerendra Singh
    Affiliations
    Department of Orthopaedics, Kasturba Hospital, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India
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  • Chaitan Jaunky
    Affiliations
    Department of Orthopaedics, Kasturba Hospital, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India
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  • Hitesh Shah
    Correspondence
    Corresponding author. Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
    Affiliations
    Department of Orthopaedics, Kasturba Hospital, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India
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Published:November 25, 2021DOI:https://doi.org/10.1016/j.jcot.2021.101719

      Abstract

      Osteomyelitis caused by Klebsiella Pneumoniae in a healthy adult person is rare. We present an unusual case of Klebsiella Pneumoniae osteomyelitis of both femurs in an immunocompetent adult. The infection was resistant to local debridement and got complicated with pathological fracture, ultimately leading to infected non-union. The challenges faced in the management of sequential complications while treating this atypical osteomyelitis are discussed.
      Unusual presentation of femur osteomyelitis due to Klebsiella pneumonia can happen in a healthy adult. The Meropenem PMMA beads can be valuable for treating Klebsiella osteomyelitis. Staged procedures might be helpful to improve the condition.

      Keywords

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