Journal Logo

Institutional members access full text with Ovid®

Fusobacterium nucleatum Osteomyelitis of the Femur in a Patient with Hereditary Hemorrhagic Telangiectasia

A Case Report

Foran, Ian, MD1,a; Kinney, Matthew C., MD1; Botte, Michael J., MD2; Covey, Dana C., MD2

doi: 10.2106/JBJS.CC.O.00106
Case Reports
Buy
SDC
Disclosures

Case: Hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome, is an often overlooked cause of orthopaedic-related infections despite a well-accepted association in the literature. We present the case of a forty-seven-year-old man with HHT who developed femoral osteomyelitis and a subsequent pathologic femoral fracture from a rare bacterial species associated with HHT.

Conclusion: Patients with HHT and extremity pain should be carefully evaluated for orthopaedic infections. If an orthopaedic infection is suspected, fastidious organisms should be considered as a possible etiologic agent. PCR (polymerase chain reaction) is helpful when organisms cannot be isolated from traditional culture media.

1University of California, San Diego, San Diego, California

2VA San Diego Healthcare System, San Diego, California

aE-mail for I. Foran: iforan@ucsd.edu

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated
You currently do not have access to this article

To access this article: