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Hematogenous patellar osteomyelitis associated with human immunodeficiency virus.

Publication ,  Journal Article
Vail, TP; Urbaniak, JR
Published in: Orthop Rev
September 1991

The case of a 37-year-old man with hematogenous osteomyelitis associated with the human immunodeficiency virus (HIV) is presented, with a review of the literature. Hematogenous osteomyelitis is a relatively rare entity in the patella; most cases have involved adolescents and immunocompromised patients. There have been no previous reports of hematogenous osteomyelitis in HIV-positive patients. The diagnosis requires clinical suspicion and roentgenographic evidence. Point tenderness over the patella and a painful, swollen knee joint are signs that should alert a physician to the possibility of hematogenous osteomyelitis. Laboratory studies are often of little value, and systemic symptoms are often absent. Treatment requires appropriately directed intravenous antibiotics and open drainage and curettage of the patella. Patellectomy may be required for large lesions and in instances of articular involvement. Computed tomography is a helpful diagnostic tool. The patient in this presentation had osteomyelitis of the patella with a knee pyarthrosis. He had open debridement of the extensor mechanism and knee joint, but ultimately required amputation because of repeat pyarthroses.

Duke Scholars

Published In

Orthop Rev

ISSN

0094-6591

Publication Date

September 1991

Volume

20

Issue

9

Start / End Page

788 / 790

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Staphylococcal Infections
  • Patella
  • Osteotomy
  • Osteomyelitis
  • Male
  • Klebsiella Infections
  • Humans
  • HIV Seropositivity
  • Drainage
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Vail, T. P., & Urbaniak, J. R. (1991). Hematogenous patellar osteomyelitis associated with human immunodeficiency virus. Orthop Rev, 20(9), 788–790.
Vail, T. P., and J. R. Urbaniak. “Hematogenous patellar osteomyelitis associated with human immunodeficiency virus.Orthop Rev 20, no. 9 (September 1991): 788–90.
Vail TP, Urbaniak JR. Hematogenous patellar osteomyelitis associated with human immunodeficiency virus. Orthop Rev. 1991 Sep;20(9):788–90.
Vail, T. P., and J. R. Urbaniak. “Hematogenous patellar osteomyelitis associated with human immunodeficiency virus.Orthop Rev, vol. 20, no. 9, Sept. 1991, pp. 788–90.
Vail TP, Urbaniak JR. Hematogenous patellar osteomyelitis associated with human immunodeficiency virus. Orthop Rev. 1991 Sep;20(9):788–790.

Published In

Orthop Rev

ISSN

0094-6591

Publication Date

September 1991

Volume

20

Issue

9

Start / End Page

788 / 790

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Staphylococcal Infections
  • Patella
  • Osteotomy
  • Osteomyelitis
  • Male
  • Klebsiella Infections
  • Humans
  • HIV Seropositivity
  • Drainage