AB1268 CLINICAL ASPECT AND THERAPEUTIC MANAGEMENT OF SUBACUTE OSTEOMYELITIS IN CHILDREN

Background Subacute osteomyelitis in children is a distinct entity encompassing primary localized osteomyelitis. It poses diagnostic problem related to its few or no constitutional symptoms, misleading radiological manifestations and often negative bacteriological investigations. The treatment remains very controversial. Objectives aim of this study was identify the main epidemiological, clinical, histological evolutionary characteristics affection propose an adequate therapeutic attitude. Methods retrospective longitudinal study, carried out over period 25 years from January 1995 December 2019 orthopedic department Taher Sfar Hospital,Mahdia, that included 37 cases subacute children. Results mean age patients seven nine months with male predominance (sex ratio: 2.27). average time hospitalization 41 days. A delay likely because consultation which clinical latency, reported all cases. imaging showed osteolysis cases, setting long bones 54% 46% other short flat ones. lesion multiple two different only one case found pure epiphyseal location investigation allowed isolation germ eight In it Staphylococcus aureus. Surgical performed 21 (60% patients). outcome favorable 35 (95% cases). An infectious awakening noted 2 Conclusion diagnosis problem. Magnetic resonance valuable examination. combined appropriate antibiotic therapy indicated for any suspicious lesion. can be useful taking samples diagnosis, improve distribution injury accelerate healing radiation. Disclosure Interests None declared