A case of MRSA osteomyelitis of the mandible that occurred after fracture

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  • HAYASHI Tsunetoshi
    Division of Dentistry and Oral Surgery, Kakegawa Municipal General Hospital
  • RYOYAMA Dai
    Division of Dentistry and Oral Surgery, Kakegawa Municipal General Hospital
  • THONAI Iwai
    Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine
  • UEDA Minoru
    Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine

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  • 下顎骨骨折に継発したＭＲＳＡ骨髄炎の１例
  • ショウレイ ホウコク カガクコツ コッセツ ニ ケイハツシタ MRSA コツズイエン ノ 1レイ

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Abstract

A case of methicillin-resistantStaphylococcus aureus (MRSA) osteomyelitis arising in the mandible secondary to a fracture is presented. A 16-year-old boy was transported to our hospital after a traffic accident. Clinical examination revealed that he had suffered multiple trauma, including a mandibular fracture. After intensive treatment by brain surgeons for 2 weeks, open reduction and fixation of the mandible were performed. About 3 weeks after surgery, an abscess had formed on the surgical wound, and microbial culture yielded MRSA. A bony abnormality was detected on computed tomography. The patient received Teicoplanin (TEIC) and sequestrectomy was performed. Histopathological findings of the excised bone were consistent with osteomyelitis. After observation for a month, a bone graft was performed. MRSA was not detected in bone specimes obtained at the time of surgery. No recurrence has been noted as of 1 year after the last operation.

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