Source of Pseudomonas in osteomyelitis of heels

Abstract

Pseudomonas aeruginosa is the most common cause of osteomyelitis following puncture wounds of the feet of children. The source of the initial inoculum is unknown. Only one strain of P. aeruginosa was cultured from paired samples of the heel or corresponding shoe's surface or both obtained from 100 children. Neither the skin of the heel nor the shoe appears to be the source of the initial inoculum.

Green Foot

“…This appears to be more common in children than adults, with up to 38% of children carrying gram-negative bacteria on their feet (2). Pseudomonas, however, are rarely isolated from the feet of healthy children or adults (3,6,7). Pseudomonas aeruginosa was isolated from the feet of only about 0.2% to 0.4% of adults (2) and from 1 of 84 children in one study (6) and 1 of 100 children in another study (7).…”

Osteomyelitis of the symphysis pubis: a complication of cardiac catheterisation

“…Pseudomonas osteomyelitis has been described in the literature only in the last decade 2 . Early reports of Pseudomonas osteomyelitis include cases where it has been found in the bones of the foot secondary to puncture wound 3 , in various areas following open fractures or surgical intervention 4 , and in malignant external otitis 5 .…”