Chronic suppurative osteomyelitis: A case report

Kamakshi, S. Swetha; Naik, V Ratan Singh; Vittal, Kavita; Shriyanka, R

doi:10.15713/ins.jcri.143

Cited by 3 publications

(2 citation statements)

References 9 publications

(20 reference statements)

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“…Any part of the bone may be involved but there is preferential targeting of metaphyseal regions of long bones adjacent to joints [7], the case in our patient was typical of this. Like this case, the usual means of infection is by the haematogenous spread through the bone marrow to the cortex, although direct introduction may complicate trauma or orthopaedic surgery, or may arise from radiation therapy [7] [8].…”

Section: Discussionsupporting

confidence: 51%

Osteomyelitis in Children with Sickle Cell Disease: A Challenging Diagnosis: Case Report from Cameroon

Yolande¹,

Tufong²,

Jules³

et al. 2021

OJPed

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Introduction: Sickle Cell Disease (SCD) is the most prevalent genetic disease in the world predominantly in the African population with Sickle Cell Anaemia (SCA) being its dominant form. One of the most frequent complications of SCD is osteomyelitis. SCA is due to a point mutation in the beta globin chain of haemoglobin. This is responsible for the sickled shape of RBCs under low oxygen tension conditions leading to obstruction in the microcirculation. This leads to vaso-occlusive crises (VOC) which has a similar clinical presentation to that of osteomyelitis, another complication of SCD. Case Presentation: We present the case of a three-year-old girl with SCA who presented with an inability to bear weight in a febrile context. A diagnosis of VOC was initially made, which was later on changed to both a left chronic tibial and right distal femoral osteomyelitis following a series of biological, and imaging investigations. Surgical debridement and drainage were performed, resulting 9 weeks later in the involution of fever and leg pain. Conclusion: Osteomyelitis when associated with SCD is a dreadful and deathly disease in low income countries as it also presents like VOC therefore higher suspicion index is recommended. It is therefore important to take this into consideration at an early stage in patients with homozygous sickle cell disease so as to rapidly

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Section: Discussionsupporting

confidence: 51%

Osteomyelitis in Children with Sickle Cell Disease: A Challenging Diagnosis: Case Report from Cameroon

Yolande¹,

Tufong²,

Jules³

et al. 2021

OJPed

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“…It may involve any part but metaphysis of long bone, preferentially adjacent to joints. 5 Bacterial osteomyelitis of the scapula is rare in paediatric patients, with frequency varying from 0.5% to 2.6%. 6 Diagnosing osteomyelitis in children with SCD may be extremely difficult, as they mostly present with fever, pain, swollen, tender limb, with decreased range of motion.…”

Section: Discussionmentioning

confidence: 99%

Shoulder joint septic arthritis with scapular osteomyelitis a rare presentation in an infant with sickle cell disease: a challenging diagnosis; a case report from rural central India

Hande

Nongrum

Kolhe

et al. 2023

Int J Contemp Pediatr

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Sickle-cell disease (SCD) a hereditary autosomal recessive disorder is the most common haemoglobinopathy worldwide. In India, it is the second most common haemoglobinopathy next to Thalassemia, prevalent in the tribal population of Central and Southern parts of India. The pathophysiology of the disease is point mutation in the beta globin chain leading to sickling of RBCs which causes obstruction in microvasculature leading to acute events like Vaso-occlusive crisis. Patients with SCD are also at an increase of orthopaedic manifestation like osteomyelitis, septic arthritis or osteonecrosis. We report a case of a 10 months old male child who presented with anaemia and fever. Child was diagnosed with SCD, later developed swelling of right shoulder joint and restrictions of movements. Diagnosis of septic arthritis of shoulder with scapular osteomyelitis was made with the help of radiological and laboratory investigations. Child was managed with injectable antibiotics and symptomatic treatment. Patients with SCD as a result of occlusion of microvasculature along with immunocompromised state are at higher risk of bacterial infections. Osteomyelitis is one of the dreaded complications. Its clinical presentation is similar to that of VOC hence there occurs a dilemma in diagnosis. A multidisciplinary approach including high degree of clinical suspicion, laboratory investigation and radiological imagining can help in early diagnosis and management.

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Differential diagnosis of Osteomyelitis of Maxilla in a long standing Diabetic Patient – A Rare Case Report

Head¹,

Lectr²,

Lectr³

2019

ClinicalDent

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Osteomyelitis is an infectious disease which is characterized by the inflammation of bone and bone marrow. In the maxillofacial region, maxilla is rarely affected due to its rich vascular supply and unique framework of the bone. The causative factors are the bacterial and fungal infections. The risk factors which increase the patient’s susceptibility to osteomyelitis are chronic use of steroids, uncontrolled diabetes and atherosclerosis. Here, we present, a rare case of osteomyelitis involving the maxilla in a 61 year old, female diabetic patient. Key Words: Maxilla, Osteomyelitis, Diabetes mellitus

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Chronic suppurative osteomyelitis: A case report

Cited by 3 publications

References 9 publications

Osteomyelitis in Children with Sickle Cell Disease: A Challenging Diagnosis: Case Report from Cameroon

Osteomyelitis in Children with Sickle Cell Disease: A Challenging Diagnosis: Case Report from Cameroon

Shoulder joint septic arthritis with scapular osteomyelitis a rare presentation in an infant with sickle cell disease: a challenging diagnosis; a case report from rural central India

Differential diagnosis of Osteomyelitis of Maxilla in a long standing Diabetic Patient – A Rare Case Report

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