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Black pigmentation of both forearm bones after chronic minocycline antibiotic therapy for septic nonunion. A case report and literature review

Abstract : We report the case of a 28-year-old man with a septic forearm non-union treated with minocycline for 3 months. At the time of reconstructive surgery, the radius and ulna were entirely black. Surgical debridement until bleeding of both bone extremities resulted in a 5-cm defect that was filled with a cement spacer. Histology confirmed poorly vascularized bone with focal areas of acute inflammatory infiltrate at the non-union sites (highly suggestive of infection) and normal structure of the remaining diaphyseal bones, although black in color. Reconstruction with free vascularized fibula transfer was successful leading to complete bone healing. An incidental finding of minocycline-induced black bone discoloration should not change the surgeon's decision because there is no evidence of adverse effects on bone healing in the literature. Surgery can be performed safely at sites of minocycline-induced black bone pigmentation.
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https://hal.umontpellier.fr/hal-02565142
Contributeur : Amandine Michel-Avella <>
Soumis le : mercredi 6 mai 2020 - 11:10:50
Dernière modification le : vendredi 15 mai 2020 - 12:22:09

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A. Toffoli, R. Gamain, C. Lazerges, M. Chammas. Black pigmentation of both forearm bones after chronic minocycline antibiotic therapy for septic nonunion. A case report and literature review. Hand Surgery and Rehabilitation, Elsevier, 2019, 38 (1), pp.71-73. ⟨10.1016/j.hansur.2018.09.008⟩. ⟨hal-02565142⟩

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