Complications of suppurative arthritis and osteomyelitis in children

Three children with suppurative arthritis and osteomyelitis are described to emphasise that delayed or incorrect diagnosis may lead to serious cardiopulmonary complications. In two patients, bilateral bronchopneumonia developed with pneumatocoeles, pneumothorax and empyema. The other had cardiac fai...

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Bibliographic Details
Published in:International orthopaedics 1991-01, Vol.15 (3), p.205-208
Main Authors: PORAT, S, GOITIEN, K, SAPERIA, B. S, LIEBERGALL, M, ABU-DALU, K, KATZ, S
Format: Article
Language:English
Subjects:
Acute Disease
Arthritis, Infectious - complications
Arthritis, Infectious - diagnostic imaging
Arthritis, Infectious - surgery
Bacterial arthritis and osteitis
Bacterial diseases
Biological and medical sciences
Child
Child, Preschool
Female
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Osteomyelitis - complications
Osteomyelitis - diagnostic imaging
Osteomyelitis - surgery
Radiography
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Summary:Three children with suppurative arthritis and osteomyelitis are described to emphasise that delayed or incorrect diagnosis may lead to serious cardiopulmonary complications. In two patients, bilateral bronchopneumonia developed with pneumatocoeles, pneumothorax and empyema. The other had cardiac failure from septic pericarditis. In one case, disarticulation of the knee was needed as a life-saving measure, and the other leg developed an infected pseudarthrosis of the tibia. The causative organism in each case was staphylococcus aureus and no evidence of immunodeficiency was demonstrated.
ISSN:0341-2695
1432-5195
DOI:10.1007/BF00192295