Unusual sites of acute osteomyelitis in childhood

Donovan, Rachel M.; Shah, Kishore

doi:10.1016/s0009-9260(82)80066-4

Cited by 29 publications

(17 citation statements)

References 3 publications

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“…A total of 89 articles were retrieved from literature search, of which 6 [2, 3, 7–10] reported 16 cases of acute clavicle osteomyelitis in children and adolescents (ages ranging between 0 and 16 years) that were included in the analysis. We excluded chronic cases of clavicle osteomyelitis and those for which the age and gender of patients were not reported.…”

Section: Review Of the Literaturementioning

confidence: 99%

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A Rare Case of Clavicle Osteomyelitis in a Child and Literature Review

Chrysochoou

Antachopoulos

Badekas

et al. 2016

Case Reports in Pediatrics

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Acute clavicle osteomyelitis in children is rare representing <3% of osteomyelitis cases. We treated a 12-year-old boy who presented with acute pain in the right clavicle and high fever for 4 days. MRI showed abnormal signal in the right clavicle with periosteal reaction. Staphylococcus aureus isolated from blood was susceptible to methicillin, clindamycin, and macrolides. Clindamycin was given intravenously for 3 wks and orally for another 3 wks with no recurrence. We reviewed clavicle osteomyelitis cases in children searching PubMed English literature. From a total of 89 studies retrieved, only 6 fulfilled the criteria and were analyzed. Sixteen patients (56% female) were included with a median age of 9 yrs (range 2 wks–16 yrs). Osteomyelitis was hematogenous in most cases, with S. aureus being the most frequent cause, isolated from either blood or tissue. Symptoms included fever, swelling, and localized bone tenderness. Antimicrobial therapy lasted for 4–12 weeks (median 7.5). Three patients required drainage or curettage. Recurrence occurred in 1/16 cases (6.2%) and persistence of symptoms occurred to 2/16 cases (12.5%) reported before 90s with unknown antimicrobial susceptibility of the pathogen. Acute clavicle osteomyelitis mainly affects older children and has generally good prognosis. Staphylococcus aureus is most commonly implicated and surgery may be needed.

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Section: Review Of the Literaturementioning

confidence: 99%

“…Involvement of other long bones is less common and of bones such as clavicles, ribs, spine, and bones of the hands and feet is unusual; thus, at these sites, diagnostic problems may present. Among these bones, the clavicle is involved in 1–3% [2]. …”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Clavicle Osteomyelitis in a Child and Literature Review

Chrysochoou

Antachopoulos

Badekas

et al. 2016

Case Reports in Pediatrics

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“…The laboratory tests revealed a WBC of 10.900 mm 3 with a shift to the left, Hb of 9.4 g%, HTK of 29.3 %, sedimentation rate 14/25. The chest radiograph showed a soft tissue swelling of the right lateral chest wall with a minimal adjacent pleural thickening which was not present in a previous Recently a few articles appeared in the radiological literature, dealing with osteomyelitis of the rib in children [1][2][3]. Rib osteomyelitis is a rare disease with an incidence of 1% or less of all hematogenous osteomyelitis [4,5].…”

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confidence: 90%

“…Rib osteomyelitis is a rare disease with an incidence of 1% or less of all hematogenous osteomyelitis [4,5]. The radiological bony changes are peculiar as there is expansion of the affected bone with lytic areas [2,3]. These bony changes are typical but appear 1-2 weeks from the beginning of the disease.…”

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confidence: 99%

Rib osteomyelitis in children. Early radiologic and ultrasonic findings

et al. 1985

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The earliest radiographic changes of osteomyelitis in the long bones is deep-seated edema manifesting as soft tissue swelling and obliteration of the intermuscular planes adjacent to the affected bone. Similarly, the early change of rib osteomyelitis is pericostal edema demonstrated by soft tissue swelling of the thoracic wall accompanied by an adjacent inward pleural displacement. In both osteomyelitis of the rib and the long bones, the bony changes will appear 1-2 weeks later. Pericostal edema can be readily diagnosed by ultrasound scan. Pericostal edema, although non specific and can occur in other conditions, yet it is a strong warning sign, set within the overall clinical picture of osteomyelitis.

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Section: Introductionmentioning

confidence: 99%

Substantiation Stages of Rehabilitation at the Patients with Metaepiphyseal Osteomyelitis

Mykolaiovych¹

2017

AJP

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Surgeons and orthopedists, which carried out medical and rehabilitative measures at the patients with metaepiphyseal osteomyelitis did not pay attention to the socio-psychological rehabilitation. Purpose of research is determination volume of methods for rehabilitation this group of patients. In our study we carried out sociological survey, using own questionnaire. On the basic question of the questionnaire -does the disease influence to the realization of vital important plans in a patient's life, 8 (15.1%) respondents had been answered, that osteomyelitis destroyed all plans in their life. The given conclusion was shown primary among male -patients -18.2%, than among female -only 10% (p >0.05). Volume of rehabilitation we combined with issues of abilitation -the system of therapeutic measures, which should prevent and eliminate pathological conditions at the children with metaepiphyseal osteomyelitis.

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Unusual sites of acute osteomyelitis in childhood

Cited by 29 publications

References 3 publications

A Rare Case of Clavicle Osteomyelitis in a Child and Literature Review

A Rare Case of Clavicle Osteomyelitis in a Child and Literature Review

Rib osteomyelitis in children. Early radiologic and ultrasonic findings

Substantiation Stages of Rehabilitation at the Patients with Metaepiphyseal Osteomyelitis

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