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. 2017:41:146-149.
doi: 10.1016/j.ijscr.2017.10.022. Epub 2017 Oct 18.

An unusual osteomyelitis caused by Moraxella osloensis: A case report

Nidal J Alkhatib  1 , Manaf H Younis  2 , Ahmad S Alobaidi  1 , Nebal M Shaath  1
Affiliations

An unusual osteomyelitis caused by Moraxella osloensis: A case report

Nidal J Alkhatib et al. Int J Surg Case Rep. 2017.

Abstract

Introduction: Moraxella osloensis is a gram-negative coccobacillus, that is saprophytic on skin and mucosa, and rarely causing human infections. Reported cases of human infections usually occur in immunocompromised patients.

Presentation of case: We report the second case of M. osloensis-caused-osteomyelitis in literature, occurring in a young healthy man. The organism was identified by sequencing analysis of the 16S ribosomal RNA gene. Our patient was treated successfully with surgical debridement and intravenous third-generation cephalosporins.

Discussion: M. osloensis has been rarely reported to cause local or invasive infections. Our case report is the second case in literature and it is different from the previously reported case in that our patient has no chronic medical problems, no history of trauma, with unique presentation and features on the MRI and intraoperative finding.

Conclusion: Proper diagnosis is essential for appropriate treatment of osteomyelitis. RNA gene sequence analysis is the primary method of M. osloensis diagnosis. M. osloensis is usually susceptible to simple antibiotics.

Keywords: Case report; Moraxella osloensis; Osteomyelitis.

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Figures

Fig. 1
Fig. 1
A clinical photograph illustrating the sinus on the postero-lateral aspect of the patient’s thigh.
Fig. 2
Fig. 2
Antero-posterior X-ray view of the left femur, showing mid shaft periosteal thickening & small area of lucency in cortex may suggest osteomyelitis.
Fig. 3
Fig. 3
Axial view of CT scan showing features suggestive of osteomyelitis with tiny involucrum seen in the marrow at the level of the cortical defect.
Fig. 4
Fig. 4
MRI T1 with intravenous contrast, showing femur osteomyelitis and sinus tract communicating with the posterior aspect of the femur.
Fig. 5
Fig. 5
Intra-operative sonogram, showing contrast communicating with the posterior aspect of femur.
See this image and copyright information in PMC

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