Evidence map›Paper›PMID 35509041›Full record

ArticleBMC surgery2022

Relapsed boyhood tibia polymicrobial osteomyelitis linked to dermatophytosis: a case report.

Ping Kong, Youliang Ren, Jin Yang, Wei Fu, Ziming Liu, Zhengdao Li, Wenbin He, Yunying Wang, Zhonghui Zheng, Muliang Ding and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 2 countries.

Ping Kong *Department of Orthopaedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, China.
Youliang Ren *Department of Orthopaedics, Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400065, China.
Jin Yang *Department of Orthopaedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, China.
Wei FuDepartment of Orthopaedics, Guizhou Provincial People's Hospital, Guiyang, 550000, China.
Ziming LiuInstitute of Sports Medicine Beijing Key Laboratory of Sports Injuries Peking University Third Hospital, Beijing, 100191, China.
Zhengdao LiDepartment of Orthopaedics, First People's Hospital of Xuzhou, Affiliated Hospital of China University of Mining and Technology, Xuzhou, 221005, China.
Wenbin HeDepartment of Trauma, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
Yunying WangDepartment of Laboratory Medicine, Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400065, China.
Zhonghui ZhengDepartment of Orthopaedics, Second Affiliated Hospital of Central South University, Changsha, 410008, China.
Muliang DingDepartment of Orthopaedics, Second Affiliated Hospital of Central South University, Changsha, 410008, China.
Edward M SchwarzDepartment of Orthopaedics, Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY, 14642, USA.
Zhongliang DengDepartment of Orthopaedics, Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400065, China.
Chao XieJoint Orthopaedic Research Center of Zunyi Medical University and University of Rochester Medical Center, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, China. Chao_Xie@URMC.Rochester.edu.ORCID http://orcid.org/0000-0001-6197-2506
Dalian Medical University · CNZunyi Medical University · CNCentral South University · CNGuizhou Provincial People's Hospital · CNPeking University · CNShanghai East Hospital · CNUniversity of Rochester Medical Center · USXuzhou Medical College · CN

Funding

China Postdoctoral Science Foundation 2021M693758
6 · The paper itself

Abstract

backgroundRelapsed childhood polymicrobial osteomyelitis associated with dermatophytosis has not been reported in the literature. CASE PRESENTATION: Here we report on a case of a 45-year-old man who had left tibial osteomyelitis for 29 years, accompanied by skin fungal infection of the ipsilateral heel for 20 years, and underwent a second operation due to recurrence of polymicrobial infection 6 years ago. The patient had a history of injury from a rusty object, which penetrated the anterior skin of the left tibia middle segment causing subsequent bone infection, but was asymptomatic after receiving treatments in 1983. The patient was physically normal until dermatophytosis occurred on the ipsilateral heel skin in 1998. The patient complained that the dermatophytosis was gradually getting worse, and the tibial wound site became itchy, red, and swollen. The left tibial infection resurged in May 2012, leading to the patient receiving debridement and antibiotic treatment. H&E and Gram-stained histology was performed on biopsy specimens of sequestrum and surrounding inflammatory tissue. Tissue culture and microbiology examination confirmed polymicrobial infection with Staphylococcus aureus (S. aureus) and Corynebacterium and a fungus. Additionally, the patient also received potassium permanganate for dermatophytosis when he was admitted into the hospital.

conclusionsTogether with longitudinal follow-up of medical history, surgical findings, histopathological and microbiology culture evidence, we conclude that boyhood tibia polymicrobial osteomyelitis with S. aureus and Corynebacterium occurred in this patient, and the fungal activation of dermatophytosis may have led to osteomyelitis relapse.

Indexed as

CoinfectionOsteomyelitisStaphylococcal InfectionsTineaAnti-Bacterial AgentsChildDebridementHumansMaleMiddle AgedStaphylococcus aureusTibiaAnti-Bacterial AgentsCorynebacteriumDermatophytosisPolymicrobial osteomyelitisRelapseStaphylococcus aureus

Identifiers

PMID35509041
PMCPMC9066813
OpenAlexW4229005255

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.