M. Itokazu et al., ABSCESS FORMATION AS A COMPLICATION CAUSED BY POSTOPERATIVE OSTEOMYELITIS OF THE FEMUR, Archives of orthopaedic and trauma surgery, 118(1-2), 1998, pp. 99-102
We report an unusual case of a giant femoral abscess caused by postope
rative osteomyelitis after treating a fracture of the femoral shaft. T
he patient ignored it until the abscess began to interfere with knee f
lexion, but no symptoms of inflammation such as fever, pain or abnorma
l laboratory values were found. Within the marrow cavity, many plasma
cells produced immunoglobulins G and M, and the level of these substan
ces in the abscess fluid connected to the bony focus were higher than
the serum levels. It was concluded that the inflammation in this case
signified a peculiarity in a primarily chronic process.