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 language | English (US) |
|---|---|
| Pages (from-to) | 238-248 |
| Number of pages | 11 |
| Journal | Clinical Orthopaedics and Related Research |
| Issue number | 144 |
| State | Published - Oct 1979 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Primary skeletal infections in heroin users
T2 - a clinical characterization, diagnosis and therapy.
AU - Roca, R. P.
AU - Yoshikawa, T. T.
PY - 1979/10
Y1 - 1979/10
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0018525348&partnerID=8YFLogxK
M3 - Article
C2 - 535231
AN - SCOPUS:0018525348
SP - 238
EP - 248
JO - Clinical Orthopaedics and Related Research
JF - Clinical Orthopaedics and Related Research
SN - 0009-921X
IS - 144
ER -