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Hemipelvic osteomyelitis in a hemodialysis patient associated with methicillin-resistant Staphylococcus aureus bacteremia
Author(s) -
Frank P. Hurst
Publication year - 2008
Publication title -
international journal of nephrology and renovascular disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.846
H-Index - 27
ISSN - 1178-7058
DOI - 10.2147/ijnrd.s3917
Subject(s) - medicine , osteomyelitis , bacteremia , staphylococcus aureus , infective endocarditis , hemodialysis , endocarditis , surgery , methicillin resistant staphylococcus aureus , abscess , epidural abscess , staphylococcal infections , osteitis , antibiotics , microbiology and biotechnology , biology , genetics , bacteria
Proper management of infected tunneled-cuffed catheters (TCC) is essential in order to avoid catastrophic consequences for the patient. Hematogenous dissemination of infection can result in serious secondary infections, including infective endocarditis, osteomyelitis, and epidural abscess. Pelvic osteomyelitis is an extremely rare condition in adults with no reported cases of infection localized to more than one pelvic bone at a time. We present a case of a hemodialysis patient who developed osteomyelitis of the entire right hemipelvis due to MRSA bacteremia after repeated attempts at TCC salvage.

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