Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2021; 9(4): 830-837
Published online Feb 6, 2021. doi: 10.12998/wjcc.v9.i4.830
Reciprocal hematogenous osteomyelitis of the femurs caused by Anaerococcus prevotii: A case report
Karolina Daunaraite, Valentinas Uvarovas, Donatas Ulevicius, Tomas Sveikata, Giedrius Petryla, Jaunius Kurtinaitis, Igoris Satkauskas
Karolina Daunaraite, Donatas Ulevicius, Vilnius University, Institute of Clinical Medicine, Faculty of Medicine, Vilnius LT-08661, Lithuania
Valentinas Uvarovas, Tomas Sveikata, Giedrius Petryla, Jaunius Kurtinaitis, Igoris Satkauskas, Department of Orthopedics and Traumatology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius LT-08661, Lithuania
Donatas Ulevicius, Department of Orthopedics and Traumatology, Vilnius LT-04130, Lithuania
Author contributions: Uvarovas V, Daunaraite K designed the research; Ulevicius D, Sveikata T, Kurtinaitis J, Petryla G performed the research; Satkauskas I, Daunaraite K, Uvarovas V analyzed the data; Ulevicius D, Daunaraite K, Uvarovas V wrote the paper.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Valentinas Uvarovas, MD, PhD, Doctor, Professor, Surgeon, Department of Orthopedics and Traumatology, Vilnius University Faculty of Medicine, Republican Vilnius University Hospital, Vilnius, Lithuania, Siltnamių str. 29, Vilnius 04130, Lithuania. valiusuvarovas@gmail.com
Received: April 16, 2020
Peer-review started: April 17, 2020
First decision: April 24, 2020
Revised: May 1, 2020
Accepted: December 10, 2020
Article in press: December 10, 2020
Published online: February 6, 2021
Core Tip

Core Tip: Haematogenous osteomyelitis is an extremely rare disease in adults. Even rarer are pathological fractures that occur as a result. We present a clinical case in which a 46-year-old patient developed haematogenous osteomyelitis after pneumonia. Both femurs were damaged, but the right one was preserved thanks to the preventive built-in AO external fixation. The left thigh was amputated and the signs of osteomyelitis did not recur. The pathogen that caused this insidious disease, Anaerococcus prevotii, has not been reported in the literature as a cause of osteomyelitis. Moreover, there are no reported cases of osteomyelitis affecting both femurs at once.