Primary skeletal infections in heroin users: a clinical characterization, diagnosis and therapy.

R. P. Roca, T. T. Yoshikawa

Research output: Contribution to journalArticle

Abstract

Experience with 24 patients and 101 cases reported in the English literature demonstrate that primary skeletal infections occur in heroin users. In young individuals with no significant underlying disease, predominant involvement in the lumbar vertebrae and sternoclavicular joint, Pseudomonas aeruginosa was the dominant pathogen. Clinical manifestations, except for pain or local tenderness, and laboratory findings were of limited value. Diagnosis ultimately depended on isolation of the pathogens from either bone or joint fluid. The treatment, as indicated, was prolonged parenteral antibiotics, generally with an aminoglycoside, incision and drainage, and immobilization.

Original languageEnglish (US)
Pages (from-to)238-248
Number of pages11
JournalClinical Orthopaedics and Related Research
Issue number144
StatePublished - Oct 1979
Externally publishedYes

Fingerprint

Sternoclavicular Joint
Literature
Lumbar Vertebrae
Heroin
Aminoglycosides
Immobilization
Pseudomonas aeruginosa
Drainage
Joints
Anti-Bacterial Agents
Bone and Bones
Pain
Infection
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Primary skeletal infections in heroin users : a clinical characterization, diagnosis and therapy. / Roca, R. P.; Yoshikawa, T. T.

In: Clinical Orthopaedics and Related Research, No. 144, 10.1979, p. 238-248.

Research output: Contribution to journalArticle

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