[Neonatal osteomyelitis of the proximal femur: a case with ten-year follow-up and review of the literature].
Acute hematogenous osteomyelitis most frequently occurs in children, generally around 6 to 9 years of age. If it occurs in early infancy, the infection usually involves both the bone and the joint, nearly simultaneously. Neonatal osteomyelitis is another presentation, with an osteomyelitic focus in the metaphysis. We report a case of septic arthritis following osteomyelitis of the hip joint in a neonate caused by a virulent pathogenic organism. Despite late diagnosis and treatment, outcome was very satisfactory with few sequelae for the joint and epiphysis. It should be emphasized that early diagnosis, with prompt and adequate treatment is essential to achieve good outcome. We discuss this case and present a review of the literature.
Département de Chirurgie Orthopédique, Hôpital Saint-Georges, Université de Balamand, BP 166 378, Achrafieh, Beyrouth 1100 2807, Liban. fflhlb@yahoo.com
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F
Haddad
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S
Sahyoun
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G
Maalouf
D001170:Arthritis, Infectious / Q000151:congenital* / Q000382:microbiology; D005260:Female; D005270:Femur Head / Q000382:microbiology*; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000382:microbiology*; D007870:Leg Length Inequality / Q000209:etiology; D015207:Osteoarthritis, Hip / Q000151:congenital* / Q000382:microbiology; D010019:Osteomyelitis / Q000151:congenital* / Q000382:microbiology; D016059:Range of Motion, Articular / Q000502:physiology; D013203:Staphylococcal Infections / Q000151:congenital*