Near-fatal infection following an elective ankle-fracture fixation

Less risk should not mean less vigilance

Giada Bianchi, Dingxin Qin, Joseph A. Dearani, Qi Qian

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Surgical fixation of closed ankle fracture is traditionally viewed as having low risk for post-operative infection. Only a few cases of surgical-site confined infection have been reported. Because of the low infection risk, the necessity for perioperative prophylaxis has been questioned. We report a case of fulminant methicillin-resistant Staphylococcus aureus endocarditis occurring shortly after an elective ankle fixation surgery in an elderly woman with chronic rheumatoid arthritis. Because systemic infection was unexpected, she had been given antipyretics for postoperative fever until just before rapid clinical deterioration. A nearly fatal hematogenous infection occurred after such a procedure, indicating the necessity for being on high alert and considering the possibility of bloodstream infection.

Original languageEnglish (US)
Pages (from-to)1911-1914
Number of pages4
JournalChinese Medical Journal
Volume124
Issue number12
DOIs
StatePublished - Jun 2011

Fingerprint

Ankle Fractures
Fracture Fixation
Infection
Closed Fractures
Surgical Wound Infection
Antipyretics
Methicillin-Resistant Staphylococcus aureus
Endocarditis
Ankle
Rheumatoid Arthritis
Fever

Keywords

  • Ankle fracture-fixation
  • Bacteremia
  • Methicillin-resistant staphylococcus aureus endocarditis
  • Native mitral valve destruction

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Near-fatal infection following an elective ankle-fracture fixation : Less risk should not mean less vigilance. / Bianchi, Giada; Qin, Dingxin; Dearani, Joseph A.; Qian, Qi.

In: Chinese Medical Journal, Vol. 124, No. 12, 06.2011, p. 1911-1914.

Research output: Contribution to journalArticle

Bianchi, Giada ; Qin, Dingxin ; Dearani, Joseph A. ; Qian, Qi. / Near-fatal infection following an elective ankle-fracture fixation : Less risk should not mean less vigilance. In: Chinese Medical Journal. 2011 ; Vol. 124, No. 12. pp. 1911-1914.
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