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Osteomyelitis in Infants and Children: A Review of 163 Cases

Osteomyelitis in Infants and Children: A Review of 163 Cases Abstract • One hundred sixty-three cases of osteomyelitis in infants and children were seen at our hospital during the past 15 years. There were twice as many boys as girls. Staphylococcus aureus was the major etiologic agent, being identified in 61% of the cases. Gram-negative bacteria were responsible for only 14 cases (9%). The femur, the tibia, or the humerus were affected in 103 of the 152 patients with single bone involvement. Osteomyelitis of more than one bone was seen in 11 cases (7%). Associated joint infection was confirmed in 29 patients. There were no deaths. Surgical drainage was carried out in 81 cases (50%). Ten patients had recurrent or persistent drainage and one developed a Brodie abscess. Of the patients with S aureus osteomyelitis, chronic disease occurred in 19% of those receiving parenterally administered antibiotics for three weeks or less, but in only one patient (2%) of those who received parenteral antibiotics longer than three weeks. (Am J Dis Child 129:1273-1278, 1975) References 1. Dickson FD: The clinical diagnosis, prognosis and treatment of acute hematogenous osteomyelitis . JAMA 127:212-217, 1945.Crossref 2. Green WT, Shannon JG: Osteomyelitis of infants: A disease different from osteomyelitis of older children . Arch Surg 32:462-493, 1936.Crossref 3. Waldvogel FA: Osteomyelitis: A review of clinical features, therapeutic considerations and unusual aspects . N Engl J Med 4:198-206, 1970.Crossref 4. Winters JL, Cohen I: Acute hematogenous osteomyelitis: A review of 66 cases . J Bone Joint Surg 42-A:691-704, 1960. 5. Cullen CH, Glass A: Acute osteomyelitis . J Bone Joint Surg 37-B:722, 1955. 6. Nelson JD: The bacteriology and antibiotic management of septic arthritis in infants and children . Pediatrics 50:437-440, 1972. 7. Louw JH: Acute hematogenous osteomyelitis in childhood . Pediatrics Digest 9:49-56, 1967. 8. Blanche DW: Osteomyelitis in infants . J Bone Joint Surg 34-A:71-85, 1952. 9. Blockley NJ, Watson JT: Acute osteomyelitis in children . J Bone Joint Surg 52-B:77-87, 1970. 10. Hall JE, Grossfield I: Acute hematogenous osteomyelitis: Management . Appl Ther 8:331-335, 1966. 11. Hall JE, Silverstein EA: Acute hematogenous osteomyelitis . Pediatrics 31:1033-1038, 1963. 12. Morse TS, Pryles CV: Infections of bones and joints in children . N Engl J Med 262:846-852, 1960.Crossref 13. Boland AL: Acute hematogenous osteomyelitis . Orthop Clin North Am 3:225-238, 1972. 14. Johnson LC: The kinetics of skeletal remodeling: A further consideration of the theoretical biology of bone . Birth Defects 2:66-142, 1966. 15. Charles ND, Sklaroff DM: Early diagnosis of metastic bone cancer by photo scanning with strontium 85 . J Nucl Med 5:168-179, 1964. 16. Capitano MA, Kirkpatrick JA: Early roentgen observation in acute osteomyelitis . Am J Roentgenol Radium Ther Nucl Med 108:488-496, 1970.Crossref 17. Haltalin KC, Nelson JD: Hand-foot syndrome due to streptococcal infection . Am J Dis Child 109:156-159, 1965. 18. Clarke AM: Neonatal osteomyelitis: A disease different from osteomyelitis of older children . Med J Aust 1:237-239, 1958. 19. Tureta J: The three types of acute haemetogenous osteomyelitis . J Bone Joint Surg 41-B:671-680, 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Osteomyelitis in Infants and Children: A Review of 163 Cases

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1975.02120480007004
Publisher site
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Abstract

Abstract • One hundred sixty-three cases of osteomyelitis in infants and children were seen at our hospital during the past 15 years. There were twice as many boys as girls. Staphylococcus aureus was the major etiologic agent, being identified in 61% of the cases. Gram-negative bacteria were responsible for only 14 cases (9%). The femur, the tibia, or the humerus were affected in 103 of the 152 patients with single bone involvement. Osteomyelitis of more than one bone was seen in 11 cases (7%). Associated joint infection was confirmed in 29 patients. There were no deaths. Surgical drainage was carried out in 81 cases (50%). Ten patients had recurrent or persistent drainage and one developed a Brodie abscess. Of the patients with S aureus osteomyelitis, chronic disease occurred in 19% of those receiving parenterally administered antibiotics for three weeks or less, but in only one patient (2%) of those who received parenteral antibiotics longer than three weeks. (Am J Dis Child 129:1273-1278, 1975) References 1. Dickson FD: The clinical diagnosis, prognosis and treatment of acute hematogenous osteomyelitis . JAMA 127:212-217, 1945.Crossref 2. Green WT, Shannon JG: Osteomyelitis of infants: A disease different from osteomyelitis of older children . Arch Surg 32:462-493, 1936.Crossref 3. Waldvogel FA: Osteomyelitis: A review of clinical features, therapeutic considerations and unusual aspects . N Engl J Med 4:198-206, 1970.Crossref 4. Winters JL, Cohen I: Acute hematogenous osteomyelitis: A review of 66 cases . J Bone Joint Surg 42-A:691-704, 1960. 5. Cullen CH, Glass A: Acute osteomyelitis . J Bone Joint Surg 37-B:722, 1955. 6. Nelson JD: The bacteriology and antibiotic management of septic arthritis in infants and children . Pediatrics 50:437-440, 1972. 7. Louw JH: Acute hematogenous osteomyelitis in childhood . Pediatrics Digest 9:49-56, 1967. 8. Blanche DW: Osteomyelitis in infants . J Bone Joint Surg 34-A:71-85, 1952. 9. Blockley NJ, Watson JT: Acute osteomyelitis in children . J Bone Joint Surg 52-B:77-87, 1970. 10. Hall JE, Grossfield I: Acute hematogenous osteomyelitis: Management . Appl Ther 8:331-335, 1966. 11. Hall JE, Silverstein EA: Acute hematogenous osteomyelitis . Pediatrics 31:1033-1038, 1963. 12. Morse TS, Pryles CV: Infections of bones and joints in children . N Engl J Med 262:846-852, 1960.Crossref 13. Boland AL: Acute hematogenous osteomyelitis . Orthop Clin North Am 3:225-238, 1972. 14. Johnson LC: The kinetics of skeletal remodeling: A further consideration of the theoretical biology of bone . Birth Defects 2:66-142, 1966. 15. Charles ND, Sklaroff DM: Early diagnosis of metastic bone cancer by photo scanning with strontium 85 . J Nucl Med 5:168-179, 1964. 16. Capitano MA, Kirkpatrick JA: Early roentgen observation in acute osteomyelitis . Am J Roentgenol Radium Ther Nucl Med 108:488-496, 1970.Crossref 17. Haltalin KC, Nelson JD: Hand-foot syndrome due to streptococcal infection . Am J Dis Child 109:156-159, 1965. 18. Clarke AM: Neonatal osteomyelitis: A disease different from osteomyelitis of older children . Med J Aust 1:237-239, 1958. 19. Tureta J: The three types of acute haemetogenous osteomyelitis . J Bone Joint Surg 41-B:671-680, 1959.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Nov 1, 1975

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