Medical Must-See: Same diff? Gut bacteria in patient’s leg

There have only been a dozen reported cases of C. diff causing osteomyelitis, say US doctors.

Clostridioides difficile is best known as a gut pathogen causing severe diarrhoea and colitis.

But in this case, it turned up deep inside a patient’s tibia.

Writing in BMJ Case Reports, US clinicians say the male patient was aged in his 70s with chronic kidney disease, AF, hypertension, hyperlipidaemia and a previous cerebrovascular accident.

While living in aged care, he was assessed for a longstanding, prominent, fluctuant mass anteriorly on his right lower leg.