Pneumococcal Osteomyelitis: Report of One Case
Article Outline
Acute osteomyelitis is uncommon in pediatric patients, affecting one in five thousand children younger than the age of thirteen. Bone infection caused by Streptococcus pneumoniae is extremely rare, accounting for only 1.3% of acute osteomyelitis in children. We report a case of penicillin-resistant Streptococcus pneumoniae-induced acute osteomyelitis in a 7-month-old male infant who was treated successfully with intravenous vancomycin and oral clindamycin.
Key Words: anti-bacterial agents , osteomyelitis , Streptococcus pneumoniae
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References
- . Epidemiology and bacteriological diagnosis of paediatric acute osteoarticular infections . Arch Pediatr . 2007;14(Suppl 2):S91–S96
- Pediatric orthopedic infections: early detection and treatment . Pediatric Annal . 2006;35:112–122
- . Osteomyelitis of the rib due to Streptococcus pneumoniae: a very rare condition in children . J Pediatr Orthop B . 2005;14:55–60
- Bacterial aetiology of acute osteoarticular infections in children . Acta Paediatrica . 2005;94:419–422
- . Retrospective assessment of subacute or chronic osteomyelitis in children and young adults . Clin Pediatr . 2005;43:549–555
- . Disseminated pneumococcal infection with pericarditis and cardiac tamponade: report of one case . Acta Paediatr Tw . 2005;46:301–304
- . Neonatal hand abscess, osteomyelitis and meningitis caused by Streptopneumococcus pneumoniae . Pediatr Infect Dis J . 1998;17:76–81
- Pediatric pneumococcal bone and joint infections . Pediatrics . 1998;102:1376–1382
- . Acute hematogenous osteomyelitis . Pediatrics . 1956;17:368–382
- . Die besonderheiten der osteomyelitis im fruehen kindesalter . Monatschr Kinderheilkd . 1933;55:280–306 [In German]
- . Osteomyelitis of infants: a disease different from osteomyelitis of older children . Arch Surg . 1936;32:462–493
- . Osteomyelitis of infants . J Bone Joint Surg [A] . 1952;34:71–85
- . Acute hematogenous osteomyelitis . Pediatrics . 1948;1:617–626
- . Pneumococcal arthritis treated with penicillin: report of six cases . Med Clin North Am . 1946;30:584–596
- . Acute hematogenous osteitis in childhood: review of 212 cases . J Bone & Joint Surg Br . 1952;34:608–623
- An etiologic shift in infantile osteomyelitis: the emergency of the group B streptococcus . J Pediatr . 1978;93:578–583
- . Pneumococcal osteomyelitis and arthritis in children . ACDC . 1991;145:70–74
- . Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects (part 1) . N Engl J Med . 1970;282:198–205
- . Discitis and vertebral osteomyelitis in children: an 18-year review . Pediatrics . 2000;105:1299–1304
- . Osteomyelitis of the pelvis in children . J Bone Joint Surg Am . 1983;65:230–234
- . Septic arthritis in early infancy . Acta Paed Sin . 1990;31:69–75
- Septic arthritis in children: relationship of causative pathogens, complications, and outcome . L Microbio Immunol Infect . 2003;36:41–46
- Invasive pneumococcal disease in Cost Rican children: a seven-year survey . Pediatr Infect Dis J . 2003;22:1069–1074
- . Pneumococcal vertebral osteomyelitis . Spine . 2001;26:2397–2399
- . Pediatric hematogenous osteomyelitis: new trends in presentation, diagnosis, and treatment . J Am Acad Orthop Surg . 1994;2:333–341
- . Pneumococcal osteomyelitis associated with IgG2 subclass deficiency . Pediatr Infect Dis J . 1987;6:281–284
- Epidemiology of invasive childhood pneumococcal infections in Israel . JAMA . 1992;268:3328–3332
- Three-year multicenter surveillance of systemic pneumococcal infections in children . Pediatrics . 1998;102:538–545
- . Streptococcus pneumoniae septic arthritis and osteomyelitis in an HIV-seropositive patient . Heart & lung . 1999;28:74–76
- . Pneumococcal osteomyelitis, an unusual cluster of cases . Clin Pediatr . 1985;24:43–45
- . Diagnosis of osteomyelitis . Pediatr Rev . 1991;12:292–297
- . Pediatric bone and join infections. Diagnosis and antimicrobial management . Pediatric Clin North Am . 1996;43:933–947
- . Vertebral osteomyelitis and meningitis due to a penicillin-resistant pneumococcal strain . Eur J Clin Microbiol Infect Dis . 1996;15:893–895
PII: S1875-9572(09)60020-6
doi:10.1016/S1875-9572(09)60020-6
© 2008 Taiwan Pediatric Association. Published by Elsevier Inc. All rights reserved.
