Acute Osteomyelitis in Children

Peltola, Heikki; Pääkkönen, Markus

doi:10.1056/nejmra1213956

Cited by 374 publications

(366 citation statements)

References 42 publications

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“…Imaging is confirmatory in diagnosis of AOM. The prominent findings cannot be visible on plain radiography until 2 to 3 weeks after the onset of symptoms and signs [1]. MRI, which is one of the best imaging method for differentiating both cellulitis from osteomyelitis, and acute from chronic osteomyelitis [10], revealed AOM in this patient.…”

Section: Discussionmentioning

confidence: 69%

“…Our patient did not have SCD, but a previous trauma of affected bones or skeletal prostheses can also increase the possibility of Salmonella osteomyelitis [3], as seen in our patient. Fever, inability to walk, or local findings around the affected bone, as in this case, should suggest osteomyelitis until discarded [1]. Fractures or any malignant condition should be kept in mind as differential diagnosis.…”

Section: Discussionmentioning

confidence: 93%

“…There are few reported cases of osteomyelitis caused by Salmonella spp in patients without immunodeficiency and SCD in the literature [4,6]. The incidence of AOM has been reported as about 8/100,000 children per year in developed countries [1], but the data about the incidence of Salmonella osteomyelitis is scarce. It can involve any bones of the body and sometimes may be multifocal [4,7,8].…”

Section: Discussionmentioning

confidence: 99%

“…It can result in chronic sequela and mortality in case of delay in diagnosis and prompt treatment. It may affect any bones, but has a predilection for the tubular bones of arms and legs, whereas bones of the feet, especially the navicula, are rarely involved in children [1]. Staphylococcus aureus is the most frequently seen causative agent of AOM [2], but sometimes Salmonella spp.…”

Section: Introductionmentioning

confidence: 99%

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Trauma Associated Acute Navicular Salmonella Osteomyelitis

Kara¹

2016

Ann Clin Anal Med

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ÖzetAcute osteomyelitis (AOM) is a devastating disease with potential sequela and mortality in case of delay in diagnosis and treatment. Navicula can be involved rarely and Salmonella species can cause AOM in otherwise healthy children. In this report, a 4-year-old boy without immunodeficiency, sickle-cell disease, and any history of gastrointestinal symptoms or suspicious food consumption, but with an ankle sprain history, presented with acute navicular Salmonella osteomyelitis. He recovered without surgical intervention and complication. Trauma can facilitate salmonella osteomyelitis in otherwise healthy children. Prompt diagnosis and treatment can prevent complications and the requirement of surgical interventions in AOM. Anahtar KelimelerChildren; Navicula; Osteomyelitis; Salmonella Enteritidis; Sickle Cell Disease AbstractAkut osteomyelit tanı ve tedavide gecikme olması durumunda yol açabileceği olası sekeller ve mortalite nedeniyle tahrip edici olabilecek bir hastalıktır. Navikula nadiren tutulur ve Salmonella türleri de sağlıklı çocuklarda akut osteomyelite neden olabilir. Burada 4 yaşında, daha önce bilinen bir immün yetmezliği, orak hücreli anemisi, hiç bir gastrointestinal yakınma ya da süpheli besin tüketim öyküsü olmayan, ancak ayak bileği burkulma öyküsü olan ve akut naviküler Salmonella osteomiyeliti tanısı konulan bir erkek çocuk olgusu sunulmuştur. Hasta cerrahi geçir-meden ve komplikasyon gelişmeden iyileşmiştir. Travma, altta yatan hastalığı olmayan, sağlıklı çocuklarda Salmonella osteomyelitini kolaylaştırabilmektedir.Uygun tanı ve tedavi, akut osteomiyelitin komplikasyonlarını ve gerekebilecek bir cerrahi girişimi engelleyebilir.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Trauma Associated Acute Navicular Salmonella Osteomyelitis

Kara¹

2016

Ann Clin Anal Med

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“…In Industrieländern sind diese Zahlen jedoch rückläufig, wohingegen das Auftreten in Dritte-Welt-Ländern gehäuft mit einer hohen Dunkelziffer ist. Jungen sind generell doppelt so häufig betroffen wie Mädchen [3,5,6].…”

Section: Akute Hämatogene Osteomyelitisunclassified