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Deep Recurrent Infection of the Hip After Tumoral Resection in an 18-years Old Male--a Case Report

Overview
Journal J Med Life
Specialty General Medicine
Date 2010 Jan 30
PMID 20108525
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Abstract

An 18 years old male was referred to us 4 years after major tumoral surgery. In 2002 he was diagnosed with Ewing sarcoma of the proximal two-thirds of his left femur. Wide resection of the tumor was performed, with a makeshift implant one-stage reconstruction, followed by a combination of chemo and radiotherapy for another 6 months. Eight months after surgery a deep infection of the hip developed, and despite antibiotic treatment and two consecutive debridments and lavage the results were negative. When we first saw the patient in 2006, he still had an active infection in his left hip and a septic general appearance. A two-stage revision was performed and a modular tumoral reconstruction was implanted. At two years follow up the patient presents no signs of recurrence neither of the infection nor of the primary tumor.

References
1.
NORDEN C . Experimental osteomyelitis. IV. Therapeutic trials with rifampin alone and in combination with gentamicin, sisomicin, and cephalothin. J Infect Dis. 1975; 132(5):493-9. DOI: 10.1093/infdis/132.5.493. View

2.
Jeys L, Grimer R, Carter S, Tillman R . Periprosthetic infection in patients treated for an orthopaedic oncological condition. J Bone Joint Surg Am. 2005; 87(4):842-9. DOI: 10.2106/JBJS.C.01222. View

3.
Futani H, Minamizaki T, Nishimoto Y, Abe S, Yabe H, Ueda T . Long-term follow-up after limb salvage in skeletally immature children with a primary malignant tumor of the distal end of the femur. J Bone Joint Surg Am. 2006; 88(3):595-603. DOI: 10.2106/JBJS.C.01686. View

4.
Gaur A, Liu T, Knapp K, Daw N, Rao B, Neel M . Infections in children and young adults with bone malignancies undergoing limb-sparing surgery. Cancer. 2005; 104(3):602-10. DOI: 10.1002/cncr.21212. View

5.
Zinner S, Lagast H, Klastersky J . Antistaphylococcal activity of rifampin with other antibiotics. J Infect Dis. 1981; 144(4):365-71. DOI: 10.1093/infdis/144.4.365. View