Hematogenous osteomielitis of the femur in an adult

Authors

  • Alejandro Alvarez-López Universidad de Ciencias Médicas. Hospital Pediátrico Provincial Dr. Eduardo Agramonte Piña. Departamento de Ortopedia y Traumatología. Camagüey, Cuba. https://orcid.org/0000-0001-8169-2704
  • Maikel Fernández-Delgado Universidad de Ciencias Médicas. Hospital Universitario Manuel Ascunce Domenech. Departamento de Ortopedia y Traumatología. Camagüey, Cuba. https://orcid.org/0000-0002-0235-3390
  • Yenima de la Caridad García-Lorenzo Universidad de Ciencias Médicas. Policlínico Universitario Tula Aguilera. Departamento de Medicina General Integral. Camagüey, Cuba. https://orcid.org/0000-0002-3327-4548
  • Johenis Creagh-García Universidad de Ciencias Médicas. Hospital Universitario Manuel Ascunce Domenech. Departamento de Anatomía Patológica. Camagüey, Cuba. https://orcid.org/0000-0002-7949-3658

Abstract

Introduction: Infections of the bone tissue by pathogenic germs by hematogenous route are frequent in the child in the metaphyseal zones and in the spine in the adult.
Objective: To present an adult patient with osteomyelitis of the femur by hematogenous route.
Case report: A 38-year-old white female patient with no known morbidity, clinical record 253853, named MRA, who went to the Orthopedics and Traumatology clinic for reporting severe pain at the level of the right thigh that did not respond to treatment with ambulatory pain relievers. Physical examination revealed a slight increase in volume at the level of the distal thigh. On palpation, skin hyperesthesia was detected, especially towards the lateral aspect of the knee. A computed tomography detected an osteolytic lesion at the distal diaphysis of the right femur with the presence of hyperdensity with bone density. Taking all the above elements into account, it was decided to take the patient to the operating room for surgical treatment, where a lateral surgical incision was made in the distal area of the right thigh, surgical plans were performed, and an eight millimeters trocar bone puncture was used to open the bone where thick pus was observed.
Conclusions: Hematogenous osteomyelitis is a typical entity of the patient with open epiphyses and in the adult spine. Invasion of bone tissue by the hematogenous route in adults other than in the spine is very rare.

DeCS: FEMUR/surgery; OSTEOMYELITIS; HYPERESTHESIA; ADULT; BONE AND BONES/pathology.

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Author Biography

Alejandro Alvarez-López, Universidad de Ciencias Médicas. Hospital Pediátrico Provincial Dr. Eduardo Agramonte Piña. Departamento de Ortopedia y Traumatología. Camagüey, Cuba.

Médico ortopédico

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Published

2022-12-23

How to Cite

1.
Alvarez-López A, Fernández-Delgado M, García-Lorenzo Y de la C, Creagh-García J. Hematogenous osteomielitis of the femur in an adult. Arch méd Camagüey [Internet]. 2022 Dec. 23 [cited 2025 Aug. 28];27:e9468. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/9468

Issue

Vol. 27 (2023): Publicación continua

Section

Case Reports

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