Acute haematogenous osteomyelitis.

Acute Haematogenous Osteomyelitis of the Patella in Childhood

The rare case of an acute haematogenous osteomyelitis of the patella in a 9-year old boy is presented. Primarily, the symptoms were misinterpreted as tonsillitis or acute rheumatoid arthritis. MRI was helpful to confirm the correct diagnosis. Sequestration of the patella required surgical debridment. Recurrence after seven weeks could be cured by renewed sequestrectomy. The actual examination a...

Acute haematogenous osteomyelitis.

The changing epidemiology of acute and subacute haematogenous osteomyelitis in children.

We have reviewed the incidence of bacteriologically or radiologically confirmed acute haematogenous osteomyelitis in children under 13 years of age resident in the area of the Greater Glasgow Health Board between 1990 and 1997. In this period there was a fall of 44% in the incidence of both acute and subacute osteomyelitis, mainly involving the acute form (p = 0.005). This mirrors the decline o...

Acute Haematogenous Metacarpal Osteomyelitis in Children: A Case Report and Review of Literature

Metatarsal osteomyelitis in children is a very uncommon disease, and this can make diagnosis difficult leading to a delay in treatment that can cause complications like brachymetacarpia or loss of function. We present an infant affected by granulomatous chronic disease with acute haematogenous osteomyelitis of the fourth metacarpal. Serratia marcescens was found to be the pathogenic agent. Trea...

Choice of antibiotics in management of acute osteomyelitis and acute septic arthritis in children.

A survey of 158 children with acute haematogenous osteomyelitis, and of 94 children with acute septic arthritis over an 8-year period was made to determine which bacteria cause these infections. In the osteomyelitis group the organism most frequently detected was Staphylococcus aureus (74% of cases). In 16% of cases streptococci were found. Staph. aureus was also the most frequently grown organ...