Suppurative complications of acute hematogenous osteomyelitis in children

Authors

Jennifer J. Johnston, University of New Mexico School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA
Cristina Murray-Krezan, Department of Internal Medicine, Division of Epidemiology, Biostatistics, and Preventive Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA
Walter N. Dehority, Department of Pediatrics, Division of Infectious Disease, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA

Document Type

Article

Publication Date

11-1-2017

Abstract

We carried out a case-control study in children with acute hematogenous osteomyelitis (AHO) with and without suppurative complications discharged from our institution over an 11-year period to test the hypothesis that abscess formation was associated with a delayed presentation to care. Of 102 children with AHO, 54 abscesses were documented in 46 patients (25 bone, 29 muscle). A delay in presentation was not associated with abscess formation (6.5 vs. 5.0 days, P=0.26). Overall, 78% of all bone abscesses were visible on initial MRI. Consistent use of MRI at presentation may identify children with suppurative complications of AHO.

Publication Title

Journal of pediatric orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America

ISSN

1473-5865

Volume

26

Issue

6

First Page

491

Last Page

496

DOI

10.1097/BPB.0000000000000437

Recommended Citation

Johnston JJ, Murray-Krezan C, Dehority W. Suppurative complications of acute hematogenous osteomyelitis in children. J Pediatr Orthop B. 2017 Nov;26(6):491-496. doi: 10.1097/BPB.0000000000000437. PMID: 28181919; PMCID: PMC8085812.