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Mediastinal Mass Caused by Vertebral Osteomyelitis

Mediastinal Mass Caused by Vertebral Osteomyelitis Abstract POSTERIOR mediastinal tumors occurring in early infancy are usually neuroblastomas or gastrointestinal duplications. Such tumors are rare. In a recent study at the Boston Children's Hospital only eight infants had neuroblastoma and ten had duplications in the mediastinum, as compared to a total of 402 patients with esophageal atresia.1 Other posterior mediastinal "tumors" to be considered in infancy are bronchogenic cysts, esophageal lesions such as achalasia or hiatus hernia, herniation of solid viscera through the foramen of Bochdalek, and mediastinal meningocele. Two patients are reported who had vertebral osteomyelitis which extended into the surrounding soft tissue, forming a posterior mediastinal mass. This lesion is not usually considered in the differential diagnosis of mediastinal tumors. Report of Cases Case 1.—A female infant born on June 24, 1955, required an exchange transfusion for erythroblastosis. On July 8, 1955, she had an abscess on the right palm which was treated by incision References 1. Gross, R.E.: Presidential Address: Thoracic Surgery for Infants , J Thorac Cardiov Surg 48:152-176 ( (Aug) ) 1964. 2. Gilmour, W.N.: Acute Haematogenous Osteomyelitis : J Bone Joint Surg 44B:841-853 ( (Nov) ) 1962. 3. Shandling, B.: Acute Haematogenous Osteomyelitis: A Review of 300 Cases Treated During 1952-1959 , S Afr Med J 34:520-524 ( (June 18) ) 1960. 4. Green, M.; Nyhan, W.L., Jr.; and Fousek, M.D.: Acute Hematogenous Osteomyelitis , Pediatrics 17:368-382 ( (March) ) 1956. 5. Winters, J.L., and Cahen, L.: Acute Hematogenous Osteomyelitis: A Review of 66 Cases , J Bone Joint Surg 42A:691-704 ( (June) ) 1960. 6. Kulowski, J.: Pyogenic Osteomyelitis of the Spine: An Analysis and Discussion of 102 Cases , J Bone Joint Surg 18:343-364 ( (April) ) 1936. 7. Green, W.T., and Shannon, J.G.: Osteomyelitis of Infants: A Disease Different From Osteomyelitis of Older Children , Arch Surg 32:462-493 ( (March) ) 1936.Crossref 8. Garcia, A., Jr., and Grantham, S.A.: Hematogenous Pyogenic Vertebral Osteomyelitis , J Bone Joint Surg 42A:429-436 ( (April) ) 1960. 9. de Lorimier, A.A.; Moehring, H.G.; and Hannan, J.R.: Clinical Roentgenology , Springfield, Ill: Charles C Thomas, Publisher, 1955, vol 3, p 296. 10. Weimann, R.B., et al: Intrathoracic Meningocele , J Thorac Cardiov Surg 46:40-49 ( (July) ) 1963. 11. Forshall, I.: Duplication of the Intestinal Tract , Postgrad Med J 37:570-589 ( (Oct) ) 1961.Crossref 12. Guri, J.P.: Pyogenic Osteomyelitis of the Spine: Differential Diagnosis Through Clinical and Roentgenographic Observations , J Bone Joint Surg 28:29-39 ( (Jan) ) 1946. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1966.02090090111012
Publisher site
See Article on Publisher Site

Abstract

Abstract POSTERIOR mediastinal tumors occurring in early infancy are usually neuroblastomas or gastrointestinal duplications. Such tumors are rare. In a recent study at the Boston Children's Hospital only eight infants had neuroblastoma and ten had duplications in the mediastinum, as compared to a total of 402 patients with esophageal atresia.1 Other posterior mediastinal "tumors" to be considered in infancy are bronchogenic cysts, esophageal lesions such as achalasia or hiatus hernia, herniation of solid viscera through the foramen of Bochdalek, and mediastinal meningocele. Two patients are reported who had vertebral osteomyelitis which extended into the surrounding soft tissue, forming a posterior mediastinal mass. This lesion is not usually considered in the differential diagnosis of mediastinal tumors. Report of Cases Case 1.—A female infant born on June 24, 1955, required an exchange transfusion for erythroblastosis. On July 8, 1955, she had an abscess on the right palm which was treated by incision References 1. Gross, R.E.: Presidential Address: Thoracic Surgery for Infants , J Thorac Cardiov Surg 48:152-176 ( (Aug) ) 1964. 2. Gilmour, W.N.: Acute Haematogenous Osteomyelitis : J Bone Joint Surg 44B:841-853 ( (Nov) ) 1962. 3. Shandling, B.: Acute Haematogenous Osteomyelitis: A Review of 300 Cases Treated During 1952-1959 , S Afr Med J 34:520-524 ( (June 18) ) 1960. 4. Green, M.; Nyhan, W.L., Jr.; and Fousek, M.D.: Acute Hematogenous Osteomyelitis , Pediatrics 17:368-382 ( (March) ) 1956. 5. Winters, J.L., and Cahen, L.: Acute Hematogenous Osteomyelitis: A Review of 66 Cases , J Bone Joint Surg 42A:691-704 ( (June) ) 1960. 6. Kulowski, J.: Pyogenic Osteomyelitis of the Spine: An Analysis and Discussion of 102 Cases , J Bone Joint Surg 18:343-364 ( (April) ) 1936. 7. Green, W.T., and Shannon, J.G.: Osteomyelitis of Infants: A Disease Different From Osteomyelitis of Older Children , Arch Surg 32:462-493 ( (March) ) 1936.Crossref 8. Garcia, A., Jr., and Grantham, S.A.: Hematogenous Pyogenic Vertebral Osteomyelitis , J Bone Joint Surg 42A:429-436 ( (April) ) 1960. 9. de Lorimier, A.A.; Moehring, H.G.; and Hannan, J.R.: Clinical Roentgenology , Springfield, Ill: Charles C Thomas, Publisher, 1955, vol 3, p 296. 10. Weimann, R.B., et al: Intrathoracic Meningocele , J Thorac Cardiov Surg 46:40-49 ( (July) ) 1963. 11. Forshall, I.: Duplication of the Intestinal Tract , Postgrad Med J 37:570-589 ( (Oct) ) 1961.Crossref 12. Guri, J.P.: Pyogenic Osteomyelitis of the Spine: Differential Diagnosis Through Clinical and Roentgenographic Observations , J Bone Joint Surg 28:29-39 ( (Jan) ) 1946.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1966

References