Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess.

Autor: Suranigi SM; Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India., Joshi M; Department of Pediatric Surgery, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India., Deniese PN; Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India., Rangasamy K; Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India., Najimudeen S; Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India., Gnanadoss JJ; Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India.
Jazyk: angličtina
Zdroj: Case reports in pediatrics [Case Rep Pediatr] 2016; Vol. 2016, pp. 3032518. Date of Electronic Publication: 2016 Mar 08.
DOI: 10.1155/2016/3032518
Abstrakt: Osteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of residual adjoining abscess due to methicillin resistant staphylococcus aureus (MRSA) sepsis. We report a newborn female with right shoulder abscess that developed chronic clavicular osteomyelitis in follow-up period after drainage. She required multiple drainage procedures and was later successfully managed with bone curettage and debridement. We report this case to highlight that a MRSA abscess may recur due to residual infection from a chronic osteomyelitis sinus. It may be misdiagnosed as hypergranulation tissue of nonhealing wound leading to inappropriate delay in treatment. High index of suspicion, aggressive initial management, and regular follow-up are imperative to prevent this morbid complication.
Databáze: MEDLINE
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