Billateral Femoral Osteomyelitis Following Venous Cutdown

Abstract

Obtaining rapid access in emergency situations for infusion of IV fluids, blood and blood products or medications is vital in using various methods. These include venopuncture, intraosseous infusion, percutanous central venous access and peripheral venous cut-down. We report a case of a 30-year-old woman who developed severe obstetric hemorrhage and had peripheral venous cut-down that was complicated by bilateral femoral osteomyelitis. This is a rare occurrence and this case report shows the need for strict adherence to safety precautions to prevent complications such as that from the procedure.

Share and Cite:

G. Akinsorotan, S. Eyesan, D. Obalum, J. Itie, C. Aroh and A. Abiodun, "Billateral Femoral Osteomyelitis Following Venous Cutdown," Open Journal of Orthopedics, Vol. 3 No. 7, 2013, pp. 306-310. doi: 10.4236/ojo.2013.37056.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] S. Chappell, G. M. Vilke, T. C. Chan, R. A. Harrigan and J. W. Ufberg, “Peripheral Venous Cutdown,” The Journal of Emergency Medicine, Vol. 31, No. 4, 2006, pp. 411-416.
http://dx.doi.org/10.1016/j.jemermed.2006.05.026
[2] J. M. Boon, A. N. van Schoor, P. H. Abrahams, J. H. Meiring, T. Welch and D. Shanahan, “Central Venous Catheterization. An Anatomical Review of a Clinical Skill,” Clinical Anatomy, Vol. 20, No. 6, 2007, pp. 602-611. http://dx.doi.org/10.1002/ca.20486
[3] B. B. McIntosh and S. A. Dulchavsky, “Peripheral Vascular Cutdown,” Critical Care Clinics, Vol. 8, 1992, pp. 807-818.
[4] A. H. Nikolaus, “Clinical Review: Vascular Access for Fluid Infusion in Children,” Critical Care, Vol. 8, No. 6, 2004, pp. 478-484. http://dx.doi.org/10.1186/cc2880
[5] N. Kissoon and T. C. Frewen, “Pediatric Venous Cutdowns: Utility in Emergency Situations,” Pediatric Emergency Care, Vol. 3, No. 3, 1987, p. 218.
http://dx.doi.org/10.1097/00006565-198709000-00022
[6] K. V. Iserson and E. A. Criss, “Pediatric Venous Cutdowns: Utility in Emergency Situations,” Pediatric Emergency Care, Vol. 2, 1986, pp. 231-234.
http://dx.doi.org/10.1097/00006565-198612000-00006
[7] R. K. Kanter, J. J. Zimmerman, R. H. Strauss and K. A. Stoeckel, “Pediatric Emergency Intravenous Access. Evaluation of a Protocol,” American Journal of Diseases of Children, Vol. 140, No. 2, 1986, pp. 132-134.
[8] M. D. Westfall, K. R. Price, M. Lambert, R. Himmelman, D. Kacey, S. Dorevitch and J. Mathews, “Intravenous Access in the Critically Ill Trauma Patient: A Multicentered, Prospective, Randomized Trial of Saphenous Cutdown and Percutaneous Femoral Access,” Annals of Emergency Medicine, Vol. 23, No. 3, 1994, pp. 541-545.
http://dx.doi.org/10.1016/S0196-0644(94)70074-5
[9] E. O. Okoroma and D. C. Agbo, “Childhood Osteomyelitis: A Five-Year Analysis of 118 Cases in Nigerian Children,” Clinical Pediatrics, Vol. 23, No. 10, 1984, pp. 548-552.
[10] C. H. Nwadiaro, J. N. Legbo, G. O. Igun and B. T. Ugwu, “Perspective of Chronic Osteomyelitis,” Nigerian Journal of Surgical Sciences, Vol. 10, No. 1, 2000, pp. 18-21.
[11] K. Pande and K. G. Mamman, “Complications of Intraosseous Infusion,” Brunei International Medical Journal, Vol. 7, No. 3, 2011, p. 237.
[12] S. B. Agaja and R. O. Ayorinde, “Chronic osteomyelitis in Ilorin, Nigeria,” South African Journal of Surgery, Vol. 46, No. 4, 2008, pp. 116-118.
[13] D. O. Ogunjumo, “The Clinical Pattern of Chronic Pyogenic Osteomyelitis in a Nigerian Community,” The American Journal of Tropical Medicine and Hygiene, Vol. 85, 1982, pp. 187-194.
[14] J. A. Olaniyi, A. E. Alagbe, T. A. Olutoogun and O. E. Busari, “Multiple Bone and Joint Diseases in Nigerian Sickle Cell Anaemia: A Case Report,” Mediterranean Journal of Hematology and Infectious Diseases, Vol. 4, No. 1, 2012, Article ID: e20120.
[15] W. W. Ebong and G. A. Oyemade, “Acute Haematogenous Osteomyelitis in Nigeria,” Tropical and Geographical Medicine, Vol. 30, No. 4, 1978, pp. 451-461.
[16] C. H. Nwadiaro, J. N. Legbo and B. T. Ugwu, “Chronic Osteomyelitis in Patients with Sickle Cell Disease,” East African Medical Journal, Vol. 77, No. 1, 2000, pp. 23-26.
[17] L. D. Givner, R. E. Luddy and A. D. Schwartz, “Aetiology of Osteomyelitis in Patients with Major Sickle Haemoglobinopathies,” Journal of Pediatrics, Vol. 99, No. 3, 1981, pp. 411-413.
http://dx.doi.org/10.1016/S0022-3476(81)80330-7
[18] L. W. Diggs, “Bone and Joint lesions in Sickle Cell Disease,” Clinical Orthopaedics and Related Research, Vol. 52, 1967, pp. 119-143.
http://dx.doi.org/10.1097/00003086-196700520-00011
[19] D. P. Lew and F. A. Waldvogel, “Osteomyelitis,” Lancet, Vol. 364, No. 9431, 2004, pp. 369-379.
http://dx.doi.org/10.1016/S0140-6736(04)16727-5
[20] J. H. Calhoun and M. M. Manring, “Adult Osteomyelitis,” Infectious Disease Clinics of North America, Vol. 19, No. 4, 2005, pp. 765-786.
http://dx.doi.org/10.1016/j.idc.2005.07.009
[21] R. C. Fang and R. D. Galiano, “Adjunctive Therapies in the Treatment of Osteomyelitis,” Seminars in Plastic Surgery, Vol. 23, No. 2, 2009, pp. 141-147.
http://dx.doi.org/10.1055/s-0029-1214166
[22] M. N. Ransool, “Acute Bilateral Symmetrical Pyogenic Osteomyelitis in Children,” The Bone & Joint Journal, Vol. 87, 2005, p. 279.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.