Shetty, Rajendra

Mathew M

Smith J

Morse LP

Mehta, Janak

Currie, Bart

2015-02-01

Little information is available about several important aspects of the treatment of melioidosis osteomyelitis and septic arthritis. We undertook a retrospective review of 50 patients with these conditions in an attempt to determine the effect of location of the disease, type of surgical intervention and duration of antibiotic treatment on outcome, particularly complications and relapse. We found that there was a 27.5% risk of osteomyelitis of the adjacent bone in patients with septic arthritis in the lower limb. Patients with septic arthritis and osteomyelitis of an adjacent bone were in hospital significantly longer (p = 0.001), needed more operations (p = 0.031) and had a significantly higher rate of complications and re-presentation (p = 0.048). More than half the patients (61%), most particularly those with multifocal bone and joint involvement, and those with septic arthritis and osteomyelitis of an adjacent bone who were treated operatively, needed more visits to theatre.

The bone & joint journal 2015-02; 97-B(2): 277-82

https://pubmed.ncbi.nlm.nih.gov/25628295/?otool=iaurydwlib

https://hdl.handle.net/10137/5516

Bone and joint Melioidosis

Melioidosis

Osteomyelitis

Septic arthritis

Adult

Anti-Bacterial Agents

Arthritis, Infectious

Combined Modality Therapy

Comorbidity

Female

Humans

Male

Melioidosis

Middle Aged

Osteomyelitis

Management of melioidosis osteomyelitis and septic arthritis.

Journal Article

Publication