Location

Philadelphia, PA

Start Date

30-4-2025 1:00 PM

End Date

30-4-2025 4:00 PM

Description

The project has showcased a unique case of chronic osteomyelitis, abscess, and cellulitis formation by S.epidermidis in the absence of foot hardware or prosthesis. The patient is a 62 yo M who presented with a chronic right foot ulcer with ongoing pain on ambulation, discharge of the RLE. PMHx includes: HTN, HLD, HIV+ (undetectable viral load; CD4: 988 cells/ml), pancreatitis, peripheral arterial disease, obesity, neuropathy, chronic EtOH and marijuana use, anxiety, a family history of DVTs and CVAs. He states that the ulcer initially opened in March 2023 due to wearing shoes without socks. Since then, it has failed to heal and he’s since had 5 surgical I&Ds. His hospital course consisted of a 6-day course of IV Zosyn with vancomycin and an I&D. He was discharged and transitioned to a 6-week course of daptomycin and wound care.

Embargo Period

6-2-2025

COinS
 
Apr 30th, 1:00 PM Apr 30th, 4:00 PM

A chronic case of Staphylococcus epidermidis osteomyelitis and abscess in the absence of foot hardware or prosthesis

Philadelphia, PA

The project has showcased a unique case of chronic osteomyelitis, abscess, and cellulitis formation by S.epidermidis in the absence of foot hardware or prosthesis. The patient is a 62 yo M who presented with a chronic right foot ulcer with ongoing pain on ambulation, discharge of the RLE. PMHx includes: HTN, HLD, HIV+ (undetectable viral load; CD4: 988 cells/ml), pancreatitis, peripheral arterial disease, obesity, neuropathy, chronic EtOH and marijuana use, anxiety, a family history of DVTs and CVAs. He states that the ulcer initially opened in March 2023 due to wearing shoes without socks. Since then, it has failed to heal and he’s since had 5 surgical I&Ds. His hospital course consisted of a 6-day course of IV Zosyn with vancomycin and an I&D. He was discharged and transitioned to a 6-week course of daptomycin and wound care.