Osteomyelitis following puncture wounds of the foot in children

J Trauma. 1976 Dec;16(12):993-9. doi: 10.1097/00005373-197612000-00010.


Review of the laboratory and clinical findings and treatment of eight patients with osteomyelitis of the foot after puncture wounds revealed that: 1) osteomyelitis after puncture wounds is a infrequent but potentially serious complication, with significant morbidity; 2) osteomyelitis is frequently preceded by inadequate primary care for simple puncture wounds, and when treatment is appropriate, osteomyelitis usually can be avoided; 3) P. aeruginosa is the most commonly recovered organism; 4) the clinical presentation is characterized by a lack of systemic toxicity, paucity of laboratory abnormalities, and evidence of a localized infection process and the patient may be asymptomatic for a few days to several months after the injury before presentation of the osteomyelitis; and 5) once the infection has become established, treatment must be aggressive, including surgical debridement.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Ascomycota / isolation & purification
  • Escherichia coli Infections
  • Foot Injuries*
  • Humans
  • Klebsiella Infections
  • Male
  • Mycoses
  • Osteomyelitis / etiology*
  • Osteomyelitis / microbiology
  • Osteomyelitis / therapy
  • Pseudallescheria / isolation & purification
  • Pseudomonas Infections
  • Staphylococcal Infections
  • Wounds, Penetrating / complications