title: Primary sternal osteomyelitis in a healthy child due to community-acquired methicillin-resistant Staphylococcus aureus and literature review.
abstract: Primary sternal osteomyelitis is a rare condition. Most of the recent cases have been reported in intravenous drug abusers. A 4-y-old male case of primary sternal osteomyelitis due to community-acquired methicillin-resistant Staphylococcus aureus with no apparent risk factors is reported. The diagnosis should be suspected in a young patient presenting with acute inflammatory swelling over the sternum. While bacteriological culture results are pending, antibiotic therapy with Staphylococcus aureus coverage should be initiated empirically and the possibility of community-acquired methicillin-resistant S. aureus must be borne in mind. In this report we also review the literature of paediatric primary sternal osteomyelitis.
authors.affiliation: Department of Paediatrics, Infectious Disease Unit, Hacettepe University Faculty of Medicine, Ankara, Hacettepe, Turkey. ateskara@hacettepe.edu.tr
authors.forename: Ates
authors.initials: A
authors.lastname: Kara
authors.forename: Hasan
authors.initials: H
authors.lastname: Tezer
authors.forename: Ilker
authors.initials: I
authors.lastname: Devrim
authors.forename: Meltem
authors.initials: M
authors.lastname: Caglar
authors.forename: A Bulent
authors.initials: AB
authors.lastname: Cengiz
authors.forename: Deniz
authors.initials: D
authors.lastname: Gür
authors.forename: Gulten
authors.initials: G
authors.lastname: Secmeer
mesh_terms: D002675:Child, Preschool; D017714:Community-Acquired Infections / Q000382:microbiology; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D010019:Osteomyelitis / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000473:pathology*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000472:pathogenicity; D013249:Sternum / Q000382:microbiology*