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Acute haematogenous osteomyelitis of the patella revealed by a pathological fracture in multiple myeloma
Author(s) -
GUERCI A.,
MAINARD D.,
THIERY D.
Publication year - 1992
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1111/j.1365-2796.1992.tb00504.x
Subject(s) - medicine , multiple myeloma , patella , pathological , osteomyelitis , surgery , osteitis , pathology
. A 57‐year‐old man was followed up for multiple myeloma with no lytic bone lesions. During a septicaema, he presented with a pathological fracture of the patella. Despite a poor haematological status, he received surgical treatment, which allowed diagnosis of haematogenous osteomyelitis of the patella. The outcome was favourable, with a 6‐week plaster immobilization after cerclage and 4 months of intravenous antibiotic therapy. This case emphasizes the fact that one well‐known cause of bone lesions may lead to an erroneous diagnosis. The successful clinical course suggests that accurate therapeutic management may be discussed in haematological malignancies when intensive‐care support is available.