Unilateral Osteomyelitis of the Clavicle in Childhood:A Case Report

Acute Presentation of Clavicular Osteomyelitis in an 8-Year-Old Patient

“…After ruling out trauma, the possibility of chronic recurrent multifocal osteomyelitis needs to be considered as well as rheumatoid arthritis, ischemic necrosis, congenital anomalies, and neoplastic conditions, such as Ewing sarcoma, multiple myeloma, lymphoma, eosinophilic granuloma, aneurysmal bone cyst, hemangioma, and osteoid osteoma among others be ruled out. [4][5][6] The most frequent microorganism in any type of osteomyelitis and seen in the patient is Staphylococcus aureus. The second most common after 6 years of age are Group A streptococci, and Pseudomonas aeruginosa (almost exclusively in puncture wounds).…”

“…Other causative microorganisms vary based on circumstances, and they include coagulase-negative staphylococci (foreign body-associated infections), Candida (nosocomial infection), Streptococcus pneumoniae, and Salmonella spp (in sickle cell patients). 1,[4][5][6] The diagnosis of osteomyelitis begins with clinical suspicion with a proper history and clinical examination. Furthermore, appropriate blood culture and, depending on imaging, aspiration, or biopsy of bone or subperiosteal abscess for gram stain and culture is required.…”