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Review
. 2016 May 27;13(6):539.
doi: 10.3390/ijerph13060539.

A Case of Acute Osteomyelitis: An Update on Diagnosis and Treatment

Affiliations
Review

A Case of Acute Osteomyelitis: An Update on Diagnosis and Treatment

Elena Chiappini et al. Int J Environ Res Public Health. .

Abstract

Osteomyelitis in children is a serious disease in children requiring early diagnosis and treatment to minimize the risk of sequelae. Therefore, it is of primary importance to recognize the signs and symptoms at the onset and to properly use the available diagnostic tools. It is important to maintain a high index of suspicion and be aware of the evolving epidemiology and of the emergence of antibiotic resistant and aggressive strains requiring careful monitoring and targeted therapy. Hereby we present an instructive case and review the literature data on diagnosis and treatment.

Keywords: acute hematogenous osteomyelitis; bone infection; children; infection biomarkers; osteomyelitis treatment.

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Figures

Figure 1
Figure 1
X-rays of the pelvis. Osteolytic lesion of the proximal metaphysis of the left femur (arrow).
Figure 2
Figure 2
MRI confirms osteomyelitis of the femoral neck with a possible involvement of the growth plate without involvement of the joint cavity (arrow). (a) T1-weighted image showing metaphyseal fluid collection with surrounding edema; (b) T1-weighted SPIR image enhancing the fluid component.
Figure 3
Figure 3
Image intensifier control during surgical closed needle biopsy and drainage.

References

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