title: Hematogenous infantile infection presenting as osteomyelitis and septic arthritis: a case report.
abstract: The case of a 6-month old male infant presenting at the emergency department with fever and swelling at the left knee joint is discussed. Laboratory tests showed an inflammatory condition. Left knee plain radiograph demonstrated local soft tissue oedema. Percutaneous needle aspiration of articular fluid showed a positive culture for Staphylococcus aureus. The diagnosis of septic arthritis was confirmed. Because of inadequate response to treatment an MRI study was followed to evaluate possible abscesses. The presence of an abscess in the suprapatellar bursa was confirmed and an additional inflammatory process of the bone marrow was revealed, consistent with osteomyelitis. The pathophysiology, the imaging findings, the patient's management and a review of septic arthritis and osteomyelitis coexistence are presented in this paper.
authors.affiliation: Department of Radiology, University Hospital of Alexandroupolis Democritus University of Thrace, Alexandroupolis (Dragana), 68100 Greece. sdefter@med.duth.gr
authors.forename: Savas P
authors.initials: SP
authors.lastname: Deftereos
authors.forename: Eleftheria
authors.initials: E
authors.lastname: Michailidou
authors.forename: Georgios K
authors.initials: GK
authors.lastname: Karagiannakis
authors.forename: Stella
authors.initials: S
authors.lastname: Grigoriadi
authors.forename: Panos
authors.initials: P
authors.lastname: Prassopoulos