title: Clivus osteomyelitis secondary to Enterococcus faecium infection in a 6-year-old girl.
abstract: A 6-year-old girl was diagnosed to suffer from clivus osteomyelitis secondary to Enterococcus faecium infection. On the basis of the magnetic resonance image, the abscess was drained via the posterior wall of the pharyngeal tract immediately. Subsequent antibiotic therapy allowed rapid improvement and long-term healing of the osteomyelitic process without any side effect. Osteomyelitis or abscess of the clivus is very rare in adult patients and extremely rare in children. Some etiopathogenetic hypotheses are discussed in this case.
authors.affiliation: Department of Pediatrics, University of Milan, Clinica Pediatrica De Marchi, via Commenda 9, 20122 Milano, MI, Italy. dnakr@tin.it
authors.forename: R
authors.initials: R
authors.lastname: Rusconi
authors.forename: S
authors.initials: S
authors.lastname: Bergamaschi
authors.forename: A
authors.initials: A
authors.lastname: Cazzavillan
authors.forename: V
authors.initials: V
authors.lastname: Carnelli
mesh_terms: D002648:Child; D003388:Cranial Fossa, Posterior; D004322:Drainage / Q000379:methods; D016984:Enterococcus faecium / Q000302:isolation & purification*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D017703:Retropharyngeal Abscess / Q000150:complications / Q000382:microbiology* / Q000601:surgery; D016896:Treatment Outcome