We treated 37 patients with chronic osteomyelitis of the tibia (25), femur (9), radius (2) and humerus (1) by a two-stage technique, comprising radical debridement of all infected bone and soft tissue with the provision of soft-tissue cover, and delayed autogenous bone grafting when necessary. All patients were reviewed at an average of 49 months (12 to 121). Infection-free bone union was achie...

Marine and freshwater animals can cause injury to humans by biting, stinging, being poisonous to eat, and causing infections. Biting aquatic animals in Florida include sharks, barracudas, alligators, and moray eels. Devitalized tissue should be débrided, and vascular, neurologic, and tendinous injuries should be repaired. Radiographs should be obtained to examine the injury sit for fractures an...

Hybrid thin wire external fixation is an effective, minimally invasive treatment for the stabilization of periarticular, supracondylar, and pilon fractures. The extent of bone and soft-tissue loss, high risk of infection, and further damage to the soft tissues precludes open reduction and internal fixation as a safe treatment method. External fixation preserves the soft-tissue envelope with min...

Background: The aim of this study to assess the role of 99mTc-HMPAO leucocyte scintigraphy combined with 99mTcMDP bone scintigraphy in the diagnosis of the diabetic foot infection. Methods: 50 diabetic patients with suspected osteomyelitis were included. The HMPAO-Leucocytes/MDP scan was considered to be consistent with osteomyelitis when the HMPAOLeucocytes uptake was concordant with MDP bone ...

AIMS The Intraosseous Transcutaneous Amputation Prosthesis (ITAP) may improve quality of life for amputees by avoiding soft-tissue complications associated with socket prostheses and by improving sensory feedback and function. It relies on the formation of a seal between the soft tissues and the implant and currently has a flange with drilled holes to promote dermal attachment. Despite this, in...

necrotizing soft tissue infections (nstis) are polymicrobial infections with high morbidity and mortality. we report a case of retroperitoneal nsti in an immunocompetent young male, with clinical symptoms and signs mimicking acute pancreatitis (pseudo-cullen’s and pseudo-grey-turner’s signs). the initiating lesion was a pustule which progressed and mimicked acute pancreatitis. ct scan showed fe...

IMPORTANCE Nearly 80% of antibiotics in the United States are sold for use in livestock feeds. The manure produced by these animals contains antibiotic-resistant bacteria, resistance genes, and antibiotics and is subsequently applied to crop fields, where it may put community members at risk for antibiotic-resistant infections. OBJECTIVE To assess the association between individual exposure t...

Yokenella regensburgei is a fermentative, motile, oxidase-negative, gram-negative bacillus belonging to the Enterobacteriaceae family and an opportunistic human pathogen that caused infections mainly in immunocompromised patients rarely immunocompetent individuals. Y. regensburgei, which generally found well water, insect guts, reptiles nature, can cause different types of such as septic arthri...