Jerry is admitted to hospital. An X-ray of his right femur indicates increased sclerosis of the bone and periosteum beneath the site of the wound with accompanying soft tissue swelling.
The S. aureus isolated from the swab is resistant to penecillin, flucloxacillin, erythromycin and gentamicin.
Jerry is taken to theatre for wound exploration +/- debridement.
A specimen of bone taken during debridement is sent to the microbiology laboratory, and S. aureus with similar antibiotic susceptibilities is isolated.
What is the likely diagnosis?
How may the underlying condition be classified?
Are antibiotics required in this setting where infected tissue is surgically debrided?
What are the treatment options?
Continue with the case...