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Wheeless' Textbook of Orthopaedics
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Gram-negative osteomyelitis following puncture wounds of the foot


Miller-EH; Semian-DW J-Bone-Joint-Surg-Am. 1975 Jun; 57(4): 535-7 Seven cases of gram-negative osteomyelitis following puncture wounds of the foot are presented. Regardless of age (range, five to thirty-two years) all patients had a similar, typical clinical picture of one to two weeks of improvement after the initial post-traumatic inflammation followed by worsening of the local signs. Two patients were successfully treated with antibiotics alone and five, with antibiotics in combination with curettage.



Original Text by Clifford R. Wheeless, III, MD.