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Case Reports in Orthopedics
Volume 2011, Article ID 541873, 4 pages
http://dx.doi.org/10.1155/2011/541873
Case Report

Atypical Focal Osteomyelitis as Initial Manifestation of AIDS

Traumatology Unit, Chablais Hospital, 1870 Monthey, Switzerland

Received 4 July 2011; Accepted 27 July 2011

Academic Editors: P.-Q. Chen and K. Erler

Copyright © 2011 A. Akiki and Y. Bilde. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Persistent pain development after a skeletal contusion rarely poses the diagnosis of osteomyelitis. We report the case of a fibular head contusion as an initial manifestation of a focal abscess development in a healthy young patient. The traditional treatment of surgical drainage revealed the presence of an atypical Mycobacterium haemophilum isolates in the abscess. This lead to further investigations that concluded and established the diagnosis of AIDS. Conclusion. Isolation of an atypical Mycobacterium haemophilum in any abscess should lead the physician to accomplish further investigations and look for AIDS even in young healthy subjects.