Diaphyseal primary subacute osteomyelitis in children.
Six patients with subacute diaphyseal osteomyelitis of 200 with acute osteomyelitis who were seen and treated at the Red Cross Children's Hospital in a 3-year period (1985-1987) are reported. All six patients had a history of a minimum of 2 weeks' duration and the radiographic picture of a linear periosteal reaction, which was either single or laminated. This radiographic picture was indistinguishable from round cell tumors of bone. The final diagnosis was established by a histology consistent with a subacute osteomyelitis. In two patients, a positive culture of Staphylococcus aureus was obtained. All of the patients healed after treatment with cloxacillin. Radiographic resolution was noted in all patients within 6 months of treatment.
Hoffman
E B
EB
Red Cross Children's Hospital, Rondebosch, Cape Town, South Africa.
de Beer
J D
JD
Keys
G
G
Anderson
P
P
D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D003023:Cloxacillin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005436:Floxacillin / Q000627:therapeutic use; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D011446:Prospective Studies; D011859:Radiography; D013019:South Africa; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*
D005436:Floxacillin; D003023:Cloxacillin