Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation

Osteomyelitis is a rare infectious disease in children, predominantly affecting long bones; however, its clinical presentation can be ambiguous if the location is atypical. Costal osteomyelitis is very rare in children and can mimic other pathologies. We present a case of a seven-month-old infant di...

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Bibliographic Details
Published in:Radiology case reports 2024, Vol.19 (6), p.2362-2366
Main Authors: Lamiri, Rachida, Habachi, Ghada, Zayani, Seyfeddine, Salah, Radhouane Ben, Daya, Abir, Abdelaali, Mabrouk, Mekki, Mongi, Kechiche, Nahla, Sahnoun, Lassaad
Format: Report
Language:English
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Summary:Osteomyelitis is a rare infectious disease in children, predominantly affecting long bones; however, its clinical presentation can be ambiguous if the location is atypical. Costal osteomyelitis is very rare in children and can mimic other pathologies. We present a case of a seven-month-old infant diagnosed with costal osteomyelitis complicated by rupture of a subperiosteal abscess into the pleura. His clinical condition improved with conservative treatment, which included chest drain insertion and intravenous antibiotic therapy without the need for surgical debridement. Rib osteomyelitis represents a potentially severe condition. Early detection is imperative to prevent the necessity for invasive therapies and mitigate long-term complications.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.02.097