Document Detail


Hematogenous calcaneal osteomyelitis in children.
MedLine Citation:
PMID:  10573335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study reviewed 21 cases of hematogenous osteomyelitis of the calcaneus in skeletally immature patients. The average patient age was 2.9 years. Local tenderness, swelling, and erythema were the most common findings. The erythrocyte sedimentation rate was elevated in 20 (95%) of 21 patients, whereas the C-reactive protein was abnormal in only seven (47%) of 15 patients tested. Nine patients had positive cultures, with Staphylococcus aureus being the most common organism. Plain films showed a lytic lesion in 15 (71%) of 21 cases, whereas scintography was positive in all 16 cases scanned. Ten patients were treated with antibiotics alone, whereas 11 patients underwent surgical irrigation and debridement in association with antibiotic therapy. Seventeen patients returned for follow-up, and although only one was symptomatic, three of 10 follow-up radiographs revealed residual abnormalities of the calcaneus.
Authors:
J Jaakkola; D Kehl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  19     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  1999-12-21     Completed Date:  1999-12-21     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  699-704     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Atlanta Medical Center, Georgia 30312, USA. juhajaakkola@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents
Bacteremia / complications,  diagnosis*,  therapy
Biopsy
Calcaneus* / pathology,  radiography
Child, Preschool
Debridement
Drug Therapy, Combination / therapeutic use
Female
Follow-Up Studies
Growth Disorders / diagnosis,  epidemiology,  etiology
Humans
Infant
Infant, Newborn
Male
Osteomyelitis / complications,  diagnosis*,  therapy
Prognosis
Retrospective Studies
Staphylococcal Infections / complications,  diagnosis*,  therapy
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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