Pseudomonas Osteomyelitis of the Foot Following Puncture Wound Cases Report and Literature Review
Journal
中華民國重建整形外科醫學會雜誌
Journal Volume
7
Journal Issue
4
Pages
331-336
Date Issued
1998
Author(s)
Abstract
Puncture wounds of the foot are an universal problem, that frequently occur to country-born people. Patients suffering this kind of injury usually received an inadequate evaluation and management. For instance, patients usually experienced foot cellulitis without an open wound. The symptoms were relieved after short period of empiric antibiotic therapy. The pain and the swelling of the punctured foot persisted several weeks later, osteomyelitis was suspected and confirmed by bone scan. Thorough surgical debridement and antibiotics therapy according to the tissue culture should be given. Two cases regarding pseudomonas osteomyelitis result from puncture wounds of their foot are presented and literatures were reviewed also. Several points are emphasized from the medical aspects: 1). The surgeon should realize that the punctured foot may develop pseudomonas osteomyelitis. 2) Close follow up in clinics or even hospitalization if necessary. 3) Diagnosis may confirmed by roentgenorgram and the bone scans. 4) Prompt surgical debridement, bone tissue culture and 7~12 days parenteral antibiotic therapy is indicated.
SDGs
Type
journal article