Hematogenous Calcaneal Osteomyelitis in Children

Jaakkola, Juha; Kehl, Douglas K.

doi:10.1097/01241398-199911000-00002

“…6 Esta infección puede presentarse por la diseminación local al hueso a partir de las partes blandas infectadas o por la inoculación directa de los microorganismos durante la punción del talón. 7,8 L a s p u b l i c a c i o n e s c i e n t í f i c a s s o b r e osteomielitis del calcáneo neonatal son escasas. En estos casos, se halló que la osteomielitis puede estar causada por las punciones repetidas para obtener muestras de sangre en los neonatos hospitalizados.…”

Section: Discussionunclassified

Osteomielitis del calcáneo secundaria a la prueba de Guthrie. A propósito de un caso

2016

Arch Argent Pediat

1

0

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Calcaneus osteomyelitis is a rare infection in newborns. Invasive procedures, prematurity and low birth wight are some causative factors. The clinical signs may be mild. We report a neonate with calcaneous osteomyelitis which was secondary to a Guthrie test sample. She was admitted to hospital with swelling, redness and increased temperature on her heel. Superficial tissue ultrasound showed fluid collection with heavy content was observed on the posterior of the right foot. Puncture and drainage was performed and methicillin-susceptible Staphylococcus aureus was isolated from the drainage culture. Extremity magnetic resonance imaging showed tissue defect in right foot, edema-inflammation and contrast enhancement. Intravenous sulbactam-ampicillin and oral amoxicillin and clavulanic acid were given for 6 weeks. In follow-up, clinical symptoms recovered without curettage. In conclusion; calcaneous osteomyelitis should be considered in the differential diagnosis of swelling on heel in neonates who have been applied to invasive procedures as Guthrie test sample.

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“…6 Calcaneal osteomyelitis may develop with the way which is local spread to bone from infected soft tissue or direct inoculation of the microorganisms through the puncture of the heel. 7,8 In literature there are few reports with neonatal calcaneus osteomyelitis. In these cases repeated punctures which were done to get blood sample from hospitalized infants are found to be responsible for osteomyelitis.…”

Section: Discussionmentioning

confidence: 99%

Calcaneus osteomyelitis secondary to Guthrie test. Case report

T

¹

,

Erat

²

,

Özdemir

³

et al. 2016

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Calcaneus osteomyelitis is a rare infection in newborns. Invasive procedures, prematurity and low birth wight are some causative factors. The clinical signs may be mild. We report a neonate with calcaneous osteomyelitis which was secondary to a Guthrie test sample. She was admitted to hospital with swelling, redness and increased temperature on her heel. Superficial tissue ultrasound showed fluid collection with heavy content was observed on the posterior of the right foot. Puncture and drainage was performed and methicillin-susceptible Staphylococcus aureus was isolated from the drainage culture. Extremity magnetic resonance imaging showed tissue defect in right foot, edema-inflammation and contrast enhancement. Intravenous sulbactam-ampicillin and oral amoxicillin and clavulanic acid were given for 6 weeks. In follow-up, clinical symptoms recovered without curettage. In conclusion; calcaneous osteomyelitis should be considered in the differential diagnosis of swelling on heel in neonates who have been applied to invasive procedures as Guthrie test sample.

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“…When bone rarefaction in the metaphyseal-equivalent portion of the calcaneus is doubtful or inconclusive, MR imaging may help to confirm calcaneal HO and exclude physeal involvement (Fig. 13) [29].…”

Section: Hematogenous Osteomyelitis Of the Short Flat And Irregular mentioning

confidence: 99%

Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach

Santos

¹

2006

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Pediatric hematogenous osteomyelitis may present highly variable radiological expression, which is influenced by the age and condition of the patient, the virulence of the causative agent, the stage of the disease, or the selected imaging tool. Given the multiplicity of available modalities and the multi-faceted nature of the process, purposeful imaging of pediatric hematogenous osteomyelitis may be difficult. In order to avoid diagnostic delays and complications, familiarity with the variable expression of the disease and assumption of the potentialities, roles and limitations of the various imaging modalities is required. In this pictorial essay we review, illustrate and discuss, in a multi-modality approach, the various radiological patterns that may be found in pediatric hematogenous osteomyelitis, with emphasis on strategies, staging, uncommon distribution patterns, and differential diagnosis.

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Hematogenous Calcaneal Osteomyelitis in Children

Cited by 35 publications

References 17 publications

Osteomielitis del calcáneo secundaria a la prueba de Guthrie. A propósito de un caso

Osteomielitis del calcáneo secundaria a la prueba de Guthrie. A propósito de un caso

Calcaneus osteomyelitis secondary to Guthrie test. Case report

Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach

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