Osteomyelitis in limb amputated by amniotic band sequence.

Abstract

A preterm (30+2 week) neonate with below-knee amputation (right lower limb), constriction rings and syndactyly, subsequent to amniotic band sequence, developed pus discharge from the right tibial stump. The neonate did not have clinical features of systemic sepsis. Blood culture was sterile. The pus culture, however, grew methicillin-resistant coagulase-negative Staphylococcus and bone scan was suggestive of osteomyelitis of right proximal tibial stump. Osteomyelitis was likely caused by the contiguous spread of infection from the exposed stump. Neonate was treated with intravenous antibiotics for 4 weeks and discharged on oral feeds.

• Authors: Mohsin Raj Mantoo, Mayank Priyadarshi, Ankit Verma, Anu Thukral
• Journal: BMJ case reports (BMJ Case Rep) Vol. 12 Issue 4 (Apr 14 2019) ISSN: 1757-790X [Electronic] England
• PMID: 30988108 (Publication Type: Case Reports, Journal Article)
• Copyright: © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Chemical References

• Anti-Bacterial Agents

Topics

• Amniotic Band Syndrome (complications, embryology, physiopathology)
• Amputation, Surgical
• Amputation Stumps (blood supply, microbiology, pathology)
• Anti-Bacterial Agents (therapeutic use)
• Humans
• Infant, Newborn
• Lower Extremity (blood supply, embryology, microbiology, pathology)
• Male
• Methicillin-Resistant Staphylococcus aureus (pathogenicity)
• Osteomyelitis (drug therapy, embryology, pathology)
• Staphylococcal Infections (drug therapy, physiopathology)
• Treatment Outcome