Fusiform bacterial sepsis. Metastases with osteomyelitis and hepatic abscess occurring in a chaotic family.
Cases of fusiform bacteria sepsis have been reported infrequently in the pediatric literature. This case demonstrates the severe metastatic complications of fusiform bacterial sepsis including osteomyelitis, with multiple pathological fractures, sepsis, and abscesses of the liver. In the diagnostic evaluation of the etiology for this uncommon infection, child abuse was discovered in all children of this family. In children with uncommon infections and no underlying etiology, child abuse should be considered.
Van Dyke
D C
DC
Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City 52242.
Alexander
R C
RC
Perlman
S
S
Smith
W J
WJ
Dekowski
S A
SA
D002649:Child Abuse; D002675:Child, Preschool; D005674:Fusobacterium Infections / Q000150:complications / Q000209:etiology*; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging; D008100:Liver Abscess / Q000150:complications* / Q000209:etiology; D008297:Male; D010019:Osteomyelitis / Q000150:complications* / Q000209:etiology; D011859:Radiography