Rib Osteomyelitis in a Pediatric Patient Case Report and Literature Review

Nascimento, M.; Oliveira, Eliana; Soares, Sérgia; Almeida, Rui; Espada, Filipa

doi:10.1097/inf.0b013e318266ebe8

Cited by 23 publications

(53 citation statements)

References 25 publications

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“…Osteomyelitis of the rib is a rare condition and it usually occurs due to (a) penetrating trauma,( b) spread of infection like empyema or pneumonia to the adjacent bone and (c) via hematogenous seeding from a distant focus of infection (Marta Nascimento, et al, 2012;Kaplan SL, et al, 2005). In the case we present, there was no significant history of trauma.…”

Section: Discussionmentioning

confidence: 68%

“…The patients generally present with fever, pain and an abscess or sinus that fails to heal (Marta Nascimento, et al, 2012;Osinowo, et al, 1982). The most common infecting pathogen is Staphylococcus aureus.…”

Section: Discussionmentioning

confidence: 99%

“…It occurs usually due to hematogenous spread and affects the metaphysis of long bones such as the femur and tibia (Marta Nascimento, et al, 2012). Osteomyelitis of the rib is extremely rare and accounts for less than 1% of hematogenous osteomyelitis (Kaplan SL., et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Osteomyelitis of The Rib: A Case Report

2017

Aust. J. Basic & Appl. Sci.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

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Osteomyelitis of The Rib: A Case Report

2017

Aust. J. Basic & Appl. Sci.

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“…In ribs, as in long bones, hematogenous disease occurs in areas with the largest blood supply where the bone is more metabolically active. Those favored sites for dissemination are: anteriorly, near the costochondral junction (76%), and posteriorly, near the costovertebral angle [ 5 ]. The usual clinical presentation of rib osteomyelitis is a patient with fevers accompanied by an abscess or draining sinus that fails to heal [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…It especially identifies marrow edema that is apparent in the early phases of metaphyseal infection before other imaging modalities are diagnosed [ 10 ]. However the definitive diagnosis of rib osteomyelitis requires a culture of the aspirated metaphysis or subperiosteal pus or blood cultures [ 5 ]. The surgical treatment consists of incision and drainage of the abscess with intraoperative wound culture.…”

Section: Discussionmentioning

confidence: 99%

Multifocal rib osteomyelitis in children: a case report and literature review

Idrissa

Tazi

Cherrabi

et al. 2017

Journal of Surgical Case Reports

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Rib osteomyelitis is a rare disease, occurring in ~1% or less of all cases of haematogenous osteomyelitis. During the last century, 58 cases of rib osteomyelitis were reported in the literature, of which, multiple ribs were involved in only five patients. Because of its rarity and non-specific clinical signs, diagnostic of rib osteomyelitis may be delayed. We report a case of multifocal rib osteomyelitis revealed by a dorsal mass in a healthy 13-year-old female child.

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Osteomyelitis of the ribs in children: a rare and potentially challenging diagnosis

et al. 2019

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BACKGROUND Rib osteomyelitis is rare in children and can mimic other pathologies. Imaging has a major role in the diagnosing rib osteomyelitis. OBJECTIVE To evaluate clinical presentation and imaging findings in children with rib osteomyelitis. MATERIALS AND METHODS We performed a retrospective (2009-2018) study on children with rib osteomyelitis verified by either positive culture or pathology. We excluded children with multifocal osteomyelitis or empyema necessitans. We reviewed medical charts for clinical, laboratory and pathology data, and treatment. All imaging modalities for rib abnormalities were evaluated for presence and location of osteomyelitis and abscess. We calculated descriptive statistics to compare patient demographics, clinical presentation and imaging findings. RESULTS The study group included 10 children (6 boys, 4 girls), with an average age of 7.3 years (range, 3 months to 15.9 years). The most common clinical presentations were fever (n=8) and pain (n=5). Eight children had elevated inflammatory indices (leukocytosis, erythrocyte sedimentation rate [ESR], C-reactive protein [CRP]). Localized chest wall swelling was found initially in six children and later in two more children. Rib osteomyelitis was suspected on presentation in only two children. All children had chest radiographs. Rib lytic changes were found on only one chest radiograph, in two of the four ultrasound studies, and in four of eight CTs. Bone marrow signal abnormalities were seen in all eight MRIs. In nine children the osteomyelitis involved the costochondral junction. Six children had an associated abscess. Staphylococcus aureus was cultured in eight children. Osteomyelitis was diagnosed based on pathology in one child with negative cultures. CONCLUSION While rib osteomyelitis is rare, imaging findings of lytic changes at the costochondral junction combined with a history of fever, elevated inflammatory markers or localized softtissue swelling in the chest should raise suspicion for this disease.

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Rib Osteomyelitis in a Pediatric Patient Case Report and Literature Review

Cited by 23 publications

References 25 publications

Osteomyelitis of The Rib: A Case Report

Osteomyelitis of The Rib: A Case Report

Multifocal rib osteomyelitis in children: a case report and literature review

Osteomyelitis of the ribs in children: a rare and potentially challenging diagnosis

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