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Case Reports
. 2017 Oct-Dec;9(4):337-339.
doi: 10.4103/JLP.JLP_45_17.

Chronic osteomyelitis by Aeromonas hydrophila: A silent cause of concern

Sonu Agrawal  1 , Deepankar Srigyan  1 , Hira L Nag  2 , Arti Kapil  1 , Benu Dhawan  1
Affiliations
Case Reports

Chronic osteomyelitis by Aeromonas hydrophila: A silent cause of concern

Sonu Agrawal et al. J Lab Physicians. 2017 Oct-Dec.

Abstract

Aeromonas is a Gram-negative bacillus, widely found in aquatic environment. Osteoarticular pathology caused by Aeromonas hydrophila is rarely encountered. To the best of our knowledge, this is the first case of chronic osteomyelitis by A. hydrophila reported from India. We report a case of chronic osteomyelitis of the lower limb due to A. hydrophila, which occurred as a delayed complication following open reduction and internal fixation. Prompt medical and surgical intervention supplemented by a comprehensive microbiological workup aided in pathogen identification and specific antimicrobial administration resulting in the successful outcome of our patient. This case illustrates the utility of multidisciplinary management approach involving microbiologists and orthopedicians in investigating and appropriately managing such cases.

Keywords: Aeromonas hydrophila; chronic osteomyelitis; delayed infection; occupational injury.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Anteroposterior and lateral radiograph of the right tibia and fibula showing periosteal reactions and cortical destruction
See this image and copyright information in PMC

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