# Infected closed pelvic fractures in two adults - Case report

**Authors:** Jimmy Olomi, Joseph Msemwa, Baraka Mponda

PMC · DOI: 10.1016/j.ijscr.2024.110142 · International Journal of Surgery Case Reports · 2024-08-09

## TL;DR

This case report describes two rare instances of infected closed pelvic fractures in healthy adults, emphasizing the challenges in diagnosis and treatment.

## Contribution

The paper contributes to the limited literature on infected closed fractures by presenting real-world cases and management insights.

## Key findings

- Infections in closed fractures are rare but can occur in immunocompetent adults.
- Anti-TB therapy was used in managing bone infection in one case.
- Maintaining fracture stability is crucial during infection treatment.

## Abstract

Infections following closed fractures in immunocompetent adults are rare but can have significant consequences if not promptly diagnosed.

We present two cases of immunocompetent adults admitted to a hospital in Tanzania with closed pelvic fractures who were found to have infections intraoperatively. Both patients responded well to treatment with one delaying to clear the infection.

Because it rarely happens infected closed fractures are difficult to diagnose prior to surgery and treatment is controversial, most authors propose priority should be getting the fracture to unite then treatment of infection.

This report adds to the existing literature on infections following closed fractures and highlights the importance of considering infection in closed fractures and tailoring management strategies to individual patient factors.

•Infection in closed fractures a rare occurance.•The use of anti TB therapy in the management of bone infection•Fracture stability is important while dealing with infection.

Infection in closed fractures a rare occurance.

The use of anti TB therapy in the management of bone infection

Fracture stability is important while dealing with infection.

## Full-text entities

- **Diseases:** Infected (MESH:D007239), fracture (MESH:D050723), pelvic fractures (MESH:D034161)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11367130/full.md

## References

15 references — full list in the complete paper: https://tomesphere.com/paper/PMC11367130/full.md

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Source: https://tomesphere.com/paper/PMC11367130