Gardnerella vaginalis (G. vaginalis) is a facultative anaerobic gram-variable pleomorphic rod most commonly associated with infection of the genital tract in women, especially bacterial vaginosis, but recognition of extravaginal G. vaginalis infection is becoming more frequent. We report a case of osteomyelitis hip abscess caused by G. vaginalis in a young female patient with a history of left hip Ewing sarcoma treated with surgical resection, chemotherapy, and hardware placement. We discuss previously reported cases of osteoarticular infections due to G. vaginalis in the medical literature and management of our unique case despite the lack of antimicrobial susceptibility for G. vaginalis.
Acute compartment syndrome develops when intracompartmental pressure increases either due to intrinsic or extrinsic causes. Increase in compartment pressure eventually can lead to impaired tissue perfusion followed by tissue death if no urgent intervention is performed. Patients with acute compartment syndrome usually present with pain out of proportion to apparent injury. It can cause rhabdomyolysis, myoglobinuria, and eventually acute renal failure. The definite treatment is fasciotomy in a timely manner. We here report a very interesting case of acute compartment syndrome in a young patient cause by pressure over his axilla by an iPad.
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