Osteomyelitis of flat bones: A report of 20 cases and review of the literature

Mboutol-Mandavo, Caryne; Monka, Marius; Moyikoua, Régis; Ondima, Irène Patricia Lucienne; Mieret, Jean-Claude

doi:10.1016/j.jcot.2019.03.022

Cited by 10 publications

(6 citation statements)

References 28 publications

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“…In a 10-year review of paediatric AHO in New Zealand, only 2 out of 813 cases involved the scapula, a proportion of 0.3% 1. A more recent case series of 20 cases of flat bone osteomyelitis in the Congo reported 4 cases of osteomyelitis of the scapula, out of a total of 220 cases of overall AHO, a proportion of 1.8% 7…”

Section: Discussionmentioning

confidence: 99%

Pseudoparalysis in an infant with otitis media: an evolving presentation of scapular osteomyelitis

Butler,

Moylett

2024

BMJ Case Rep

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A female infant presented to an Irish hospital with a 4-day history of fever, irritability and reduced oral intake. Initial inflammatory markers were significantly elevated, an erythematous tympanic membrane was noted on examination and an initial diagnosis of acute otitis media was made. By the third hospital day, the infant was noted to be irritable when being lifted up; pseudoparalysis of the right upper limb was observed. A radiograph of the right shoulder was normal; MRI identified acute scapular osteomyelitis with subperiosteal abscess formation. The child underwent 3 washout procedures and received 6 weeks of antibiotic therapy, with full clinical recovery at 3 months. This case highlights the importance of remaining flexible in the context of an evolving presentation and recognising hallmarks of musculoskeletal infection, fever, localised pain and pseudoparalysis. Additionally, we review the literature to highlight clues in diagnosis, treatment and outcome for paediatric acute scapular osteomyelitis.

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Section: Discussionmentioning

confidence: 99%

Pseudoparalysis in an infant with otitis media: an evolving presentation of scapular osteomyelitis

Butler,

Moylett

2024

BMJ Case Rep

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“…1 Since then, 25 new cases have been reported, including the 2 cases described above. [3][4][5][6][7][8][9][10] Due to its low incidence, the rate of suspicion is low, which is often a reason for a delay in diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…8 The most frequently isolated microorganism is Staphylococcus aureus (40%), followed by K. kingae (16%) and Salmonella enteritidis (8%). 1,[3][4][5][6][7][8][9] An increase has been observed in cases caused by K. kingae (up to 30% in the past 5 years), especially in children under 3 years of age, probably due to the increased performance of new diagnostic techniques, such as polymerase chain reaction. 3,8,11 S. enteritidis causes infection primarily in children with sickle cell disease, although cases have recently been described in infants without hemoglobinopathy.…”

Section: Discussionmentioning

confidence: 99%

Primary sternal osteomyelitis

et al. 2023

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Primary sternal osteomyelitis is very rare in children, with less than 100 cases published to date. Its clinical presentation is often non-specific, which results in a diagnostic delay.Here we describe 2 new cases of primary sternal osteomyelitis. Both referred fever, malaise, chest pain, and refusal to lie down, with pre-sternal erythema in one of the cases. The erythrocyte sedimentation rate and C-reactive protein values were high in both cases. The diagnosis was confirmed by imaging studies; methicillin-sensitive Staphylococcus aureus was isolated in the blood culture of one of them. Both recovered without complications with antibiotic treatment.Primary sternal osteomyelitis should be considered in the differential diagnosis of chest pain, especially if accompanied by fever, local inflammatory signs, intolerance to lying down, or increased acute phase reactants.

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“…1 Desde entonces, se han publicado 25 nuevos casos, incluidos los 2 arriba descritos. [3][4][5][6][7][8][9][10] Por su baja incidencia, el índice de sospecha es bajo, lo que con frecuencia es motivo de demora en su diagnóstico y tratamiento.…”

Section: Discussionunclassified

“…8 El germen más frecuentemente aislado es Staphylococcus aureus (40 %), seguido de K. kingae (16 %) y Salmonella enteritidis (8 %). 1,[3][4][5][6][7][8][9] Se ha observado un aumento de los casos causados por K. kingae (hasta el 30 % en los últimos cinco años), especialmente en los niños menores de 3 años, probablemente debido al mayor rendimiento de nuevas técnicas diagnósticas, como la reacción en cadena de la polimerasa. 3,8,11 S. enteritidis causa la infección fundamentalmente en niños con anemia de células falciformes, aunque recientemente han sido descritos casos en lactantes sin hemoglobinopatía.…”

Section: Discussionunclassified

Osteomielitis primaria de esternón

2023

Arch Argent Pediat

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La osteomielitis primaria de esternón es muy infrecuente en niños, con menos de 100 casos publicados hasta la actualidad. Su presentación clínica es a menudo inespecífica, lo que causa un retraso en el diagnóstico.Se presentan dos nuevos casos de osteomielitis primaria de esternón. Ambos referían un cuadro de fiebre, malestar general, dolor torácico y rechazo del decúbito, con eritema preesternal en uno de los casos. La velocidad de sedimentación globular y la proteína C-reactiva estaban elevadas en ambos casos. El diagnóstico se confirmó mediante estudios de imagen y en un caso se aisló Staphylococcus aureus sensible a meticilina en el hemocultivo. Ambos se recuperaron sin complicaciones con tratamiento antibiótico.Debe tenerse en cuenta la osteomielitis primaria de esternón en el diagnóstico diferencial del dolor torácico, especialmente si se acompaña de fiebre, signos inflamatorios locales, intolerancia al decúbito o elevación de reactantes de fase aguda.

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Osteomyelitis of flat bones: A report of 20 cases and review of the literature

Cited by 10 publications

References 28 publications

Pseudoparalysis in an infant with otitis media: an evolving presentation of scapular osteomyelitis

Pseudoparalysis in an infant with otitis media: an evolving presentation of scapular osteomyelitis

Primary sternal osteomyelitis

Osteomielitis primaria de esternón

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