Emphysematous osteomyelitis of the calcaneus: a case report and review.

IF 1.4 Q3 EMERGENCY MEDICINE International Journal of Burns and Trauma Pub Date : 2022-08-15 eCollection Date: 2022-01-01
Kaitlin M Gruenberg, Barret J Halgas, Jonathan Lundy
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Abstract

Emphysematous osteomyelitis is a rare but potentially fatal condition, which classically features intraosseous air on imaging without a direct communication with the atmosphere. Prompt recognition and treatment of the disease cannot be overstated as there is a high mortality rate associated with this condition. Here we report a case of emphysematous osteomyelitis of the calcaneus in a sixty-one-year-old male with diabetes mellitus and end-stage renal disease. This case of osteomyelitis was associated with an overlying necrotizing soft tissue infection, mandating an urgent below-knee amputation for source control. This case report is the first of its kind in the literature involving the calcaneous as emphysematous osteomyelitis more commonly involves the vertebral column. The purpose of this case report is to discuss the presentation and treatment of emphysematous osteomyelitis involving the calcaneous as well as provide a review of the current literature on this diagnosis.

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跟骨肺气性骨髓炎1例报告及回顾。
肺气肿性骨髓炎是一种罕见但潜在致命的疾病,其典型特征是骨内空气在成像上没有与大气直接交流。由于该病的死亡率很高,因此对该病的及时识别和治疗再怎么强调也不为过。我们在此报告一例六十一岁男性糖尿病及终末期肾脏疾病病患的跟骨肺气性骨髓炎。该病例骨髓炎伴有上覆的坏死性软组织感染,需要紧急膝下截肢以控制感染源。本病例报告是文献中第一例涉及骨骨的病例,因为肺气性骨髓炎更常累及脊柱。本病例报告的目的是讨论累及跟骨的肺气肿性骨髓炎的表现和治疗,并对目前关于这种诊断的文献进行回顾。
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