Spontaneous tibiotalar arthrodesis as a complication of acute tibial osteomyelitis due to Panton-Valentine leukocidin-producing Staphylococcus aureus: a case report

Strains of Panton-Valentine leukocidin-producing Staphylococcus aureus producing a new pattern of disease have emerged worldwide. Infection with these bacteria typically presents as a life-threatening infection of soft tissues and bones, and may cause potentially devastating consequences. We report...

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Bibliographic Details
Published in:Journal of medical case reports 2012-07, Vol.6 (1), p.202-202, Article 202
Main Authors: Ceroni, Dimitri, de la Llana, Rebecca Anderson, Zand, Tristan, Lamah, Léopold, Dominguez, Denis, De Coulon, Geraldo, Dubois-Ferrière, Victor
Format: Article
Language:English
Subjects:
Arthrodesis
Care and treatment
Case Report
Case studies
Children
Complications and side effects
Diagnosis
Diseases
Epidemiology
Health aspects
Osteomyelitis
Risk factors
Septic shock
Staphylococcus aureus
Staphylococcus aureus infections
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Summary:Strains of Panton-Valentine leukocidin-producing Staphylococcus aureus producing a new pattern of disease have emerged worldwide. Infection with these bacteria typically presents as a life-threatening infection of soft tissues and bones, and may cause potentially devastating consequences. We report a case of osteoarticular infection caused by Panton-Valentine leukocidin-producing Staphylococcus aureus. A 12-year-old Caucasian girl presented with acute osteomyelitis of the tibia associated with toxic shock syndrome, which was complicated by an unexpected spontaneous ankle arthrodesis. Osteoarticular infections due to Panton-Valentine leukocidin-producing Staphylococcus aureus appear to be severe, and are characterized by their tendency to evolve towards serious complications. This case highlights the need for early and aggressive surgical procedures in conjunction with appropriate antimicrobial therapy and regular long-term follow-up.
ISSN:1752-1947
1752-1947
DOI:10.1186/1752-1947-6-202