Summary
We describe an adult patient with bullous pemphigoid treated with prednisone, who twice went through a septicaemia during this therapy. One year later a multifocal symmetrical hematogenous osteomyelitis in the legs became manifest.
Zusammenfassung
Wir beschreiben den Fall einer erwachsenen Patientin mit Parapemphigus, bei der während einer Prednisontherapie zweimal eine Sepsis auftrat. Ein Jahr später manifestierte sich eine multifocale abszedierende Osteomyelitis der unteren Extremitäten.
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References
Baker LRI, Brain MC, Miller JK, Raphael MJ (1967) Osteomyelitis: an unusual sequel to neutropenia. Br Med J 1:722–725
De Lange WE, Doorenbos H (1972) Corticotrophins and corticosteroids. In: Meyler L, Herxheimer A (eds) Side effects of drugs. Vol 7. Excerpta Medica, Amsterdam, pp 516–539
Holzman RS, Bishko F (1971) Osteomyelitis in heroin addicts. Ann Int Med 75:693–696
Kelly PJ (1975) Osteomyelitis in the adult. Orthop Clin North Am 6:983–989
Lewis R, Gorbach S, Altner P (1972) Spinal pseudomonas chondro-oosteo-myelitis in heroin users. N Engl J Med 286:1303
Petersen S, Knudsen FU, Andersen EA, Egeblad M (1980) Acute hemtogenous osteomyelitis and septic arthritis in childhood. Acta Orthop Scand 51:451–457
Rokseth R (1960) Agranulocytosis and sepsis associated with prednisolon. Lancet 1:680–681
Slaney G, Brooke BN (1958) Septicaemia in modern therapy. Lancet 1:504–506
Trueta J (1959) The three types of acute hematogenous osteomyelitis: a clinical and vascular study. J Bone Jt Surg 44:671–680
Waldvogel FA, Medoff G, Swartz MN (1970) Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects. N Engl J Med 282:198–296, 260–266, 316–322
Waldvogel FA, Vasey H (1980) Osteomyelitis: the past decade. N Engl J Med 303:360–370
Wiesseman CJ, Wood VE, Kroll LL (1973) Pseudomonas vertebral osteomyelitis in heroin addicts. J Bone Jt Surg 55-A:1416–1424
Winters JL, Cahen I (1960) Acute hematogenous osteomyelitis: a review of sixty-six cases. J Bone Jt Surg 42-A:691–704
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van der Meeren, H., Lacroix, H., Ochsner, P.E. et al. Multifocal hematogenous osteomyelitis in an adult treated with corticosteroids. Arch. Orth. Traum. Surg. 100, 69–71 (1982). https://doi.org/10.1007/BF00381546
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DOI: https://doi.org/10.1007/BF00381546