Aeromonas hydrophila Osteomyelitis of the Femur in a 14-Year-Old Girl on Antituber-cular Therapy: A Rare Presentation

Authors

  • Mohit Gandhi Senior resident, Department of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
  • Zeeshan Ahmad Khalil Post graduate resident, Department of Orthopaedics, Vardhaman Mahavir Medical College and Safdarjung Hospital, Delhi, India

DOI:

https://doi.org/10.32553/ijmbs.v10i2.3235

Keywords:

good outcomes

Abstract

Introduction: Aeromonas hydrophila is an uncommon cause of musculoskeletal infections, particularly in immunocompetent pediatric patients [1]   

Case Presentation: We report a 14-year-old girl on antitubercular therapy (ATT) who developed chronic non-healing medial thigh wound and femoral osteomyelitis following an aspiration procedure. MRI showed intramedullary osteomyelitis with multiloculated intramuscular collections. Surgical incision and drainage with cortical windowing was performed. Culture revealed Aeromonas hydrophila, sensitive to trimethoprim- sulphamethoxazole, levofloxacin, and gentamicin. She improved well with targeted therapy and continued ATT.

Conclusion: Atypical pathogens should be considered in osteomyelitis cases with prior invasive procedures or chronic systemic illness. Early surgical intervention and organism-specific antibiotics lead to good outcomes.

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Published

2026-04-17

How to Cite

Gandhi, M. ., & Khalil, Z. A. . (2026). Aeromonas hydrophila Osteomyelitis of the Femur in a 14-Year-Old Girl on Antituber-cular Therapy: A Rare Presentation. International Journal of Medical and Biomedical Studies, 10(2), 65–69. https://doi.org/10.32553/ijmbs.v10i2.3235

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