Hemipelvic osteomyelitis in a hemodialysis patient associated with methicillin-resistant Staphylococcus aureus bacteremia

Case report

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Authors: Jeanne C Patzkowski, Frank P Hurst, Robert T Neff, Kevin C Abbott

Published Date September 2008 Volume 2008:1 Pages 1 - 4

DOI: http://dx.doi.org/10.2147/IJNRD.S3917

Jeanne C Patzkowski¹, Frank P Hurst^1,2, Robert T Neff^1,2, Kevin C Abbott^1,2

¹Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine, Bethesda, MD, USA; ²Nephrology Service, Walter Reed Army Medical Center, Washington, DC, USA

Abstract: Proper management of infected tunneled-cuffed catheters (TCC) is essential in order to avoid catastrophic consequences for the patient. Hematogenous dissemination of infection can result in serious secondary infections, including infective endocarditis, osteomyelitis, and epidural abscess. Pelvic osteomyelitis is an extremely rare condition in adults with no reported cases of infection localized to more than one pelvic bone at a time. We present a case of a hemodialysis patient who developed osteomyelitis of the entire right hemipelvis due to MRSA bacteremia after repeated attempts at TCC salvage.

Keywords: pelvic osteomyelitis, indwelling catheter, staphylococcus aureus, catheter-related bacteremia