| Clinical Study of Acute Pyogenic Osteomyelitis in Children |
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Ji Sook Park1, Jeong Suk Yeom1, Sun Chul Hwang2, Eun Sil Park1, Ji Hyun Seo1, Jae Young Lim1, Chan Hoo Park1, Hyang Ok Woo1, Hee Shang Youn1 |
1Department of Pediatrics, College of Medicine, Gyeongsang National University, Jinju, Korea
2Department of Orthopedics, College of Medicine, Gyeongsang National University, Jinju, Korea |
| 소아 급성 화농성 골수염의 임상적 고찰 |
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박지숙1, 염정숙1, 황선철2, 박은실1, 서지현1, 임재영1, 박찬후1, 우향옥1, 윤희상1 |
1경상대학교 의과대학 소아과학교실
2경상대학교 정형외과학교실 |
Correspondence:
Ji Hyun Seo, Email: seozee@gshp.gsnu.ac.kr
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| Abstract |
Purpose
: Acute pyogenic osteomyelitis is uncommon in children. Delayed diagnosis and inappropriate treatment are leading to growth failure and deformation. We review the clinical manifestations and treatment of acute osteomyelitis in children according to age.
Methods
: A retrospective analysis was made of 32 patients who underwent antibiotic management or operation between Aug 1989 and Dec 2003 for acute pyogenic osteomyelitis in age from 0 to 15 years old.
Results
: The study group was composed of 21 boys and 11 girls. The subjects were divided into four groups according to age : 0-1 yr(n=6), 1-5 yr(n=11), 6-10 yr(n=8), and 11-15 yr(n=7). Nineteen cases were diagnosed in Winter. Femur was the most common infected site(37.5%). There were no predisposing factor in 17 patients, and 7 of 15 patients had trauma history. Sepsis was important predisposing factor in neonates. The chief complaints were pain, swelling and fever. S. aureus(61%) is the most common organism. Twenty-nine patients were treated with operation and concomitant antibiotics. Two cases had sequelae in follow-up period : One is avascular necrosis of femur and the other is discrepancy of leg length.
Conclusion
: In our review, because of poor prognosis in septic neonates, we recommend to treat actively neonatal sepsis and prevent or detect osteomyelitis early. Because most of patients were diagnosed and treated in orthopedic surgery, the rate of operation was too high. So, protocol for further evaluation and management of acute osteomyelitis in pediatric patients were needed. |
| Key Words:
Osteomyelitis , Signs and symptoms , Treatment |
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