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J Hand Surg Asian Pac Vol ; 27(2): 403-407, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35443877

RESUMEN

We report a 94-year-old patient with a fractured radius that was being managed conservatively. At 2 months, an abscess was observed overlying the fracture site. An MRI scan was done and samples obtained for microbiological and pathological analyses. The patient was diagnosed with tuberculous osteomyelitis. Surgical debridement of the fracture site was performed, and the bone defect was filled with bone cement impregnated with gentamicin and rifampicin. Anti-tuberculosis therapy was administered for 9 months and the patient made an uneventful recovery. Early diagnosis and correct medical treatment depend on sound evidence of tuberculous osteomyelitis. Surgical debridement is essential if abscesses are present in the bone. Level of Evidence: Level V (Therapeutic).


Asunto(s)
Fracturas Óseas , Osteomielitis , Tuberculosis Osteoarticular , Absceso , Anciano de 80 o más Años , Fracturas Óseas/complicaciones , Humanos , Osteomielitis/complicaciones , Osteomielitis/diagnóstico , Osteomielitis/terapia , Radio (Anatomía) , Tuberculosis Osteoarticular/complicaciones , Tuberculosis Osteoarticular/diagnóstico , Tuberculosis Osteoarticular/tratamiento farmacológico
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