Pathological Fractures with Osteomyelitis

Padman, Manoj; Rosenfeld, Scott; Belthur, Mohan V.

doi:10.1007/978-3-030-95794-0_22

Cited by 2 publications

(2 citation statements)

References 82 publications

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“…CT imaging showed a rare entity of pathological fracture of normal bone adjacent to diseased bone due to its weakening secondary to mucormycosis involving maxilla and nasal bones. 29,30 Individuals having good immunity showed host response against infection in the form of irregular hyperdense sclerosis of cortical bone of sinus walls and zygomatic bone. In our case series similar presentations were shown involving nasal septum associated with mucormycosis is a rare phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Unravelling features in post COVID mucormycosis: case series with review of literature

Amaran

Puranik

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">In the midst of the severe acute respiratory syndrome coronavirus 2 (SARS COV-2) pandemic, the victims are acquiring secondary infections like mucormycosis. Rhinocerebral mucormycosis (ROCM), is the most prevalent form and is an invasive, opportunistic fungal infection that typically affects immunocompromised patients. It exhibits a pronounced propensity to invade blood arteries, resulting in tissue thrombosis, necrosis, and infarction. Early conventional and advanced medical imaging like computed tomography (CT) and magnetic resonance imaging (MRI) is helpful in assessing the extent of involvement of this lethal disease which requires prompt and aggressive treatment. Despite of aggressive therapy, which includes disfiguring surgical debridement and frequently adjunctive toxic antifungal therapy, the overall mortality rate is high. The prime objective of present study focuses upon, unravelling the aberrant imaging presentations along with the detailed discussion about existing common features. The current study presents, a case series of 15 patients of rhino-orbital-cerebral mucormycosis (ROCM) including clinical data; common radiographic features like sinusitis, bony erosions, and soft tissue involvement also there were few uncommon features illustrated while evaluating the radiographic imaging. All patients underwent chair side and histopathological investigations. Appropriate treatment modalities were enrolled followed by rehabilitation of the defects after a thorough follow-up over an interval of 6 months. A thorough examination of the imaging findings is necessary since the aggressive nature of the infection can involve any parts of head and neck region illustrating few rare presentations involving uncommon sites. Radiologists must be aware of these unravelling radiographic features to know the precise extension of the infection.</p><p> </p>

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Section: Discussionmentioning

confidence: 99%

Unravelling features in post COVID mucormycosis: case series with review of literature

Amaran

Puranik

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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“…A pathological fracture secondary to osteomyelitis is a rare but recognised complication [ 1 ]. Healthy bone is often weakened in the context of COM for the following reasons.…”

Section: Introductionmentioning

confidence: 99%

Pathological Fracture of the Femur Following Chronic Osteomyelitis: A Case Report of This Rare Presentation in Adults

Botterill,

Ghosh,

Bhaskaran

2024

Cureus

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Chronic osteomyelitis is a common presentation in orthopaedics, particularly in the context of deep abscesses. Fractures related to osteomyelitis can be seen in children but are rare in adults. We present the rare case of a pathological fracture related to osteomyelitis in a 53-year-old warehouse worker who was previously fit and well. He presented with a right-sided thigh abscess and after initial surgical management, further imaging detailed osteomyelitis that was treated with suppressive antimicrobial therapy. Seven months after discharge, the patient presented to our emergency department with a right-sided proximal fracture of the femur. Retrospectively, we were able to localise the fracture site to the site of the previous cloaca from the osteomyelitis. We discuss whether prophylactic fixation is required for patients with extensive cloaca following a chronic fracture.

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Pathological Fractures with Osteomyelitis

Cited by 2 publications

References 82 publications

Unravelling features in post COVID mucormycosis: case series with review of literature

Unravelling features in post COVID mucormycosis: case series with review of literature

Pathological Fracture of the Femur Following Chronic Osteomyelitis: A Case Report of This Rare Presentation in Adults

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