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

• 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
• ISSN: 1752-1947; 1752-1947
• DOI: 10.1186/1752-1947-6-202

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.