Inadvisable Treatment of Recalcitrant Septic Olecranon Bursitis: An Unusual Case of Extremely Prolonged Treatment With Oral Antibiotics After Bursectomy
Bibliographic record
Abstract
The intention of this report is to alert physicians about how prolonged the course of treatment for recalcitrant septic olecranon bursitis (OB) might be when only oral antibiotics are used. Some patients may need extra convincing that this course of treatment could be so long that it would not be recommended (i.e., a relatively shorter course of i.v. antibiotics is preferred). We treated a 56-year-old healthy male who developed methicillin-sensitive Staphylococcus aureus (MSSA) OB after a scorpion sting. The infection was not eradicated with bursectomy and a conventional course of antibiotics. The unusual persistence of the infection was initially attributed to venom, but olecranon osteomyelitis was eventually suspected. The patient refused a typical and predictably effective course of i.v. antibiotics because this would have constrained his business travel schedule. Consequently, full resolution required 240 days; treatment being mainly with two concurrent antibiotics (trimethoprim/sulfamethoxazole and rifampin). doi:10.4021/jmc463w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.001 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".