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2019, Number 2

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Enf Infec Microbiol 2019; 39 (2)

Ischial osteomyelitis due to methicillin-resistant Staphylococcus aureus (MRSA) in a school child. Case report

Guerrero BM, Macedo MMG, Mercado UM, Plascencia HA, Martínez AP, Luévanos VA, Cuevas AC, Reyes GU, Reyes HKL, López CG, Matos AJ, Santos CLA, Hernández MR
Full text How to cite this article

Language: Spanish
References: 9
Page: 71-75
PDF size: 848.65 Kb.


Key words:

ischiatic osteomyelitis, methicillin-resistant Staphylococcus aureus, children, surgery.

ABSTRACT

Pelvic osteomyelitis is considered an unusual presentation, implying a different approach for definitive diagnosis.
The clinical case of a 9-year-old male is presented, who two weeks prior to admission had intermittent fever and general malaise; then presented limitation in the left pelvic member. Imaging studies concluded in ischial osteomyelitis diagnosis. Methicillin-resistant Staphylococcus aureus (MRSA) was isolated in the blood culture and culture of the lesion. It was managed with vancomycin, leaving four weeks later for improvement.
Osteomyelitis at the pelvic level requires early diagnostic suspicion and a timely surgical medical approach for a good prognosis of function.


REFERENCES

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  2. Figueras, C.G. et al., “Osteomielitis del isquion en la infancia. A propósito de dos casos”, Acta Ortopédica Mexicana, 2013, 27 (2): 119-122.

  3. Saavedra, L.J. et al., “Documento de Consenso seipserpe- seop sobre etiopatogenia y diagnóstico de la osteomielitis aguda y artritis séptica no complicadas”, An Pediatr (Barc), 2014, disponible en: http://dx.doi. org/10.1016/j.anpedi.

  4. Nour, A., “Pseudomonas pelvic osteomielitis in a healthy child”, Infect Dis Reports, 2012, 4: 1.

  5. Chiappini, E. et al., “A case of acute osteomyelitis: an update on diagnosis and treatment”, Int J Environ Res Public Health, 2016, 13: 539-542.

  6. Mandell, G.L., Bennett, J.E. y Dolin, R. (eds.), Principles and practice of infectious diseases, 7ª ed., Churchill Livingstone, Filadelfia, 2010.

  7. Morgan, A. et al., “The diagnosis of acute osteomyelitis of the pelvis”, Postgrad Med J, 1966, 42: 74.

  8. Tural, T. et al., “Osteomielitis pélvica en una paciente de 15 años. Presentación de un caso”, Arch Argent Pediatr, 2016, 114 (5): 370-373.

  9. Yu, J.L., “The imaging of ostemyelitis”, Quant Imaging Med Surg, 2016, 6 (2): 184-198.




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Enf Infec Microbiol. 2019;39