Clinical treatment observation of a patient with chronic hematogenous osteomyelitis of ankle bones, complicated by the progression of pleural empyema and sepsis

The article presents the clinical case of a successful complex surgical treatment of a young patient (47 years old) with chronic hematogenous osteomyelitis of bones that form the ankle joint (shin and huckle bones), which was complicated by phlegmon of the lower limb, pleural empyema and sepsis. Chronic hematogenous osteomyelitis is an actual and unsolved medical problem. Late or inadequate surgical treatment of the suppurative focus and inefficiency of longtime antimicrobial therapy can lead to chronic and progressive disease with frequent process exacerbations; it can threaten the life of the patient, which this clinical observation illustrates.

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