"Osteomyelitis Near the Site of Attachment of the Patellar Tendon to the Tibia Presumably Caused by Cellulitis"

A 58-year-old man presented with osteomyelitis near the tibial attachment of the patellar tendon, possibly caused by cellulitis. The symptoms were mild inflammatory response. However, imaging studies revealed bone destruction near the patellar tendon attachment of the tibia. Antibiotics were administered intravenously, and hyperbaric oxygen therapy was initiated. Pain was relieved, and C-reactive protein levels normalized. However, 3 weeks later, magnetic resonance imaging revealed enlargement of the high-intensity region near the patellar tendon attachment of the tibia. Therefore, debridement was performed, and an antibiotic-loaded cement was inserted. Antibiotics were administered for approximately 2 months. The symptoms and findings of the right knee disappeared,