Hemipelvic osteomyelitis in a hemodialysis patient associated with methicillin-resistant Staphylococcus aureus bacteremia

Abstract

Jeanne C Patzkowski1, Frank P Hurst1,2, Robert T Neff1,2, Kevin C Abbott1,21Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine, Bethesda, MD, USA; 2Nephrology Service, Walter Reed Army Medical Center, Washington, DC, USAAbstract: Proper management of infected tunneled-cuffed catheters (TCC) is essential in order to avoid catastrophic consequences for the patient. Hematogenous dissemination of infection can result in serious secondary infections, including infective endocarditis, osteomyelitis, and epidural abscess. Pelvic osteomyelitis is an extremely rare condition in adults with no reported cases of infection localized to more than one pelvic bone at a time. We present a case of a hemodialysis patient who developed osteomyelitis of the entire right hemipelvis due to MRSA bacteremia after repeated attempts at TCC salvage.Keywords: pelvic osteomyelitis, indwelling catheter, staphylococcus aureus, catheter-related bacteremia