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Phalangeal Osteomyelitis Caused by Staphylococcus lugdunensis – A Case Report of a Rare Association and Review of Literature

INTRODUCTION: Staphylococcus lugdunensis is a skin commensal and its association with bone infections is rare. This case is first of its kind in literature where phalangeal osteomyelitis was caused by S. lugdunensis. CASE REPORT: A 56-year-old man presented with a chronic history of index fingertip...

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Detalles Bibliográficos
Autor principal: Raval, Pradyumna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276615/
https://www.ncbi.nlm.nih.gov/pubmed/32548009
http://dx.doi.org/10.13107/jocr.2250-0685.1540
Descripción
Sumario:INTRODUCTION: Staphylococcus lugdunensis is a skin commensal and its association with bone infections is rare. This case is first of its kind in literature where phalangeal osteomyelitis was caused by S. lugdunensis. CASE REPORT: A 56-year-old man presented with a chronic history of index fingertip pain to the orthopedic clinic. There was a partial resolution of symptoms earlier when commenced on anti-inflammatory and antibiotics in community by the general practitioner. A thorough clinical and radiological evaluation followed by a surgical debridement completely cured his symptoms. S. lugdunensis was isolated on culture in this case. CONCLUSION: Chronic finger-tip infections can be quite challenging to treat and one should have a high index of suspicion in treating such infections, especially with respect to the virulence of commensal micro-organisms.