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  • Title: [An unexpected case of lower left-side abdominal pain. Acute reactivation of chronic osteomyelitis].
    Author: Heim U, Clauss M, Graber P, Ilchmann T.
    Journal: Praxis (Bern 1994); 2012 Apr 25; 101(9):603-7. PubMed ID: 22535457.
    Abstract:
    Osteomyelitis caused by S. aureus can be reactivated after decades. Our patient presented with an acute episode of lower left-side abdominal pain and subfebrile temperature due to a reactivation of a S. aureus osteomyelitis in the iliac bone which was initially misinterpreted as a sigma diverticulitis. Diagnosis was established by conventional radiographs as well as CT and MR scans. Harvesting the responsible germ by a bone biopsy prior to therapy is mandatory. Therapy consists of a surgical debridement combined with a long-lasting antibiotic therapy. Relapse can be found after long latency.
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