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Journal of Clinical Microbiology, March 2006, p. 1194-1196, Vol. 44, No. 3
0095-1137/06/$08.00+0     doi:10.1128/JCM.44.3.1194-1196.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Recurrent Osteomyelitis Caused by Infection with Different Bacterial Strains without Obvious Source of Reinfection

Ilker Uçkay,1 Mathieu Assal,2 Laurence Legout,2 Peter Rohner,1 Richard Stern,2 Daniel Lew,1 Pierre Hoffmeyer,2 and Louis Bernard1,2,3*

Division of Infectious Diseases,1 Orthopaedic Service, Geneva University Hospital, Geneva, Switzerland,2 Division of Infectious Diseases, Raymond Poincaré University Hospital, Garches, France3

Received 23 June 2005/ Returned for modification 22 August 2005/ Accepted 28 December 2005

Recurrence of osteomyelitis by the same bacterial strain is well known. We report three patients with a second episode of osteomyelitis at the same site caused by different strains of bacteria from the original. Formerly infected and altered bone surface might present a region of diminished resistance for a new infection.

* Corresponding author. Mailing address: Division of Infectious Diseases, Raymond Poincaré University Hospital, 104, Bd. R. Poincaré, 92380 Garches, France. Phone: 0033.1.47.10.77.6041. Fax: 0033.1.47.10.77.67. E-mail: louis.bernard{at}rpc.aphp.fr.

Journal of Clinical Microbiology, March 2006, p. 1194-1196, Vol. 44, No. 3
0095-1137/06/$08.00+0     doi:10.1128/JCM.44.3.1194-1196.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.





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