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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 2, 249-251.
doi: 10.1302/0301-620X.89B2.18167  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Multifocal Proteus mirabilis osteomyelitis requiring bilateral amputation in an HIV-positive patient

G. Petsatodis, MD, PhD, Associate Professor of Orthopaedics1; P. D. Symeonidis, MD, Orthopaedic Surgeon1; D. Karataglis, MD, PhD, Orthopaedic Surgeon1; and J. Pournaras, MD, PhD, Professor of Orthopaedics1

1 1st Orthopaedic Department Aristotle University of Thessalonika, "G. Papanikolaou" Hospital, 57010 Exohi, Thessaloniki, Greece.

Correspondence should be sent to Dr P. D. Symeonidis; e-mail: p.symeonidis{at}gmail.com

We present a rare case of multifocal Proteus mirabilis osteomyelitis in an HIV-positive patient. Despite the patient’s good immune status as assessed by her CD4 cell count and the aggressive treatment, she eventually underwent bilateral above-knee amputations to eradicate the infection. Multifocal Proteus mirabilis osteomyelitis can have an unpredictable clinical course with a severe outcome in HIV-positive patients.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General