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Osteomyelitis in limb amputated by amniotic band sequence
  1. Mohsin Raj Mantoo,
  2. Mayank Priyadarshi,
  3. Ankit Verma and
  4. Anu Thukral
  1. Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Ankit Verma, ankitvmmc{at}


A preterm (30+2 week) neonate with below-knee amputation (right lower limb), constriction rings and syndactyly, subsequent to amniotic band sequence, developed pus discharge from the right tibial stump. The neonate did not have clinical features of systemic sepsis. Blood culture was sterile. The pus culture, however, grew methicillin-resistant coagulase-negative Staphylococcus and bone scan was suggestive of osteomyelitis of right proximal tibial stump. Osteomyelitis was likely caused by the contiguous spread of infection from the exposed stump. Neonate was treated with intravenous antibiotics for 4 weeks and discharged on oral feeds.

  • neonatal intensive care
  • infections
  • bone and joint infections
  • orthopaedics

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  • Contributors MRM and MP: collected the background information and was involved in the clinical care of the baby, and drafted the initial write up. AV: supervised clinical care and gave inputs in the initial draft and finalised the write up. AT: supervised manuscript write up and did critical revision and finalisation of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/Guardian consent obtained.