Document Detail

Osteomyelitis of the rib due to Streptococcus pneumoniae: a very rare condition in children.
MedLine Citation:
PMID:  15577309     Owner:  NLM     Status:  MEDLINE    
Rib osteomyelitis is a rare disease. We present a previously unreported case of Streptococcus pneumoniae osteomyelitis of the rib. A 4-month-old-infant presented with fever, irritability and abdominal tenderness. Pericostal collection was discovered incidentally on ultrasound; it was first drained by needle aspiration and appropriate antibiotic therapy was given, with resolution of fever in 24 h, but recurrence of symptoms 4 days later, with swelling over the affected rib. Surgical drainage with resection of the infected portion of the rib were done followed by a prolonged course of intravenous and then oral antibiotics, without any recurrence at 6 months follow-up. A review of the pertinent literature was made. This case demonstrates that the spectrum of pathogens potentially responsible for rib osteomyelitis may be broader than previously reported. The management and outcome are similar to rib osteomyelitis due to any other bacteria.
Ibrahim Kalouche; Ismat Ghanem; Khalil Kharrat; Fernand Dagher
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  14     ISSN:  1060-152X     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2004-12-03     Completed Date:  2005-03-22     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  55-60     Citation Subset:  IM    
Department of Orthopaedic Surgery, Hôtel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon.
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MeSH Terms
Anti-Bacterial Agents
Combined Modality Therapy
Drainage / methods
Drug Therapy, Combination / therapeutic use
Osteomyelitis / radiography,  radionuclide imaging*,  therapy
Pneumococcal Infections / diagnosis*,  drug therapy
Rare Diseases
Ribs / pathology,  radiography
Risk Assessment
Severity of Illness Index
Streptococcus pneumoniae / isolation & purification*
Treatment Outcome
Reg. No./Substance:
0/Anti-Bacterial Agents

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