Document Detail


Pediatric pelvic osteomyelitis.
MedLine Citation:
PMID:  17641126     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pelvic osteomyelitis is unusual in children. We retrospectively reviewed charts of patients with this infection seen at our institution. From 1998 to 2005, 31 patients with pelvic osteomyelitis were identified: 19 males and 12 females with an age range of 1.5 months to 17 years 9 months. Duration of illness prior to admission ranged from 1 day to 2.5 months. Chief complaints included nonspecific pain, fever, limp, and decreased weight bearing. Microorganisms isolated included Staphylococcus aureus, Pseudomonas aeruginosa, Salmonella, Enterobacter cloacae, and Kingella kingae. Bones involved were acetabulum/ilium (22 patients), ischium (7 patients), and pubis (4 patients); 2 patients had several bones involved. Imaging studies performed included magnetic resonance imaging (21 patients), computed tomography (14 patients), and nuclear bone scan (25 patients). Our study, the largest contemporary series of pediatric pelvic osteomyelitis from one institution, highlights the consequences of prolonged duration of illness and delayed diagnosis.
Authors:
Joel D Klein; Kathleen A Leach
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Publication Detail:
Type:  Journal Article     Date:  2007-07-19
Journal Detail:
Title:  Clinical pediatrics     Volume:  46     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-23     Completed Date:  2008-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  787-90     Citation Subset:  AIM; IM    
Affiliation:
Division of Infectious Diseases, Alfred I. duPont Hospital for Children, Wilmington, Delaware 19899, USA. jklein@nemours.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anti-Bacterial Agents / therapeutic use
Child
Child, Preschool
Female
Hospitals, Pediatric
Humans
Infant
Infant, Newborn
Male
Medical Records
Osteomyelitis / drug therapy,  microbiology,  physiopathology*
Pelvic Infection / drug therapy,  microbiology,  physiopathology*
Retrospective Studies
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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