Skin lesions as an initial manifestation of late osteosynthesis‐associated infection

Late osteosynthesis‐associated infection (OAI) is an uncommon and potentially serious disease. Its clinical presentation may mimic skin and soft tissue infection, leading to misdiagnosis. We report the case of a 64 year‐old man with a late OAI in the frontal bone, initially misdiagnosed as an infect...

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Bibliographic Details
Published in:JEADV clinical practice 2023-06, Vol.2 (2), p.356-358
Main Authors: Gutiérrez‐Meré, Raúl, Batalla, Ana, Feal Cortizas, Juan Carlos, Peón‐Curras, Gonzalo, Abalde, Maria Teresa, Da Ponte García, Carlos Fernández, Couselo‐Rodríguez, Carmen, Soto‐García, Diego, Martínez‐Fernández, Sandra, Flórez, Ángeles
Format: Article
Language:English
Subjects:
Abscesses
Antibiotics
bacterial
Cellulitis
Conflicts of interest
Diabetes
Drug resistance
Fractures
Infections
infectious disease of the skin
Medical history
Orthopedics
Patient assessment
Sinuses
surgery
Tomography
Trauma
wound healing
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Summary:Late osteosynthesis‐associated infection (OAI) is an uncommon and potentially serious disease. Its clinical presentation may mimic skin and soft tissue infection, leading to misdiagnosis. We report the case of a 64 year‐old man with a late OAI in the frontal bone, initially misdiagnosed as an infectious cellulitis. Late OAI can be difficult to suspect, especially if the intervention was performed years ago. Because of misdiagnosis, the symptoms can be masked by the use of antibiotics, so it is of utmost importance to take a detailed clinical history to make an early diagnosis and avoid potential complications. The treatment consists of the use of antibiotics and the replacement of the osteosynthesis material. Therefore, when facing a skin and soft tissue infection of torpid evolution which persists despite correct treatment and a past medical history of underlying osteosynthesis material, late OAI should be considered.
ISSN:2768-6566
2768-6566
DOI:10.1002/jvc2.133