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Case Reports
. 2022 Nov 30;37(6):e449.
doi: 10.5001/omj.2023.03. eCollection 2022 Nov.

The First Confirmed Pediatric Chronic Osteomyelitis due to Coxiella Burnetii in Oman

Affiliations
Case Reports

The First Confirmed Pediatric Chronic Osteomyelitis due to Coxiella Burnetii in Oman

Nawal Al-Kindi et al. Oman Med J. .

Abstract

We describe here the first confirmed case in Oman of chronic osteomyelitis due to Coxiella burnetii, in a previously healthy four-year-old Omani girl. After laboratory confirmation of C. burnetii infection using molecular and qualitative and quantitative serological assays, the case was successfully managed with a combination of oral ciprofloxacin and cotrimoxazole and thereafter followed up for a long period without remission.

Keywords: Ankle Joint; Coxiella burnetii; Molecular Testing; Oman; Osteomyelitis; Q Fever; Zoonotic.

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Figures

Figure 1
Figure 1
Magnetic resonance imaging of the left foot at presentation showing talus cavitary lesion with periosteal collection.
Figure 2
Figure 2
Histopathology sections of the bone tissue biopsy taken intraoperatively (20 × inflamed synovium).
Figure 3
Figure 3
Left ankle X-ray after 14 months of antibiotics course.

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