Primary sternal osteomyelitis: a report of two cases with literature review.
Primary sternal osteomyelitis is a rare disease in children caused mainly by Staphylococcus aureus. We describe 2 cases resulting from Streptococcus pneumonia and Candida albicans. On the basis of these cases and other documented case reports, we discuss the pathogens, clinical course, and pathophysiology and suggest a management protocol based on early debridement to initiate appropriate antibiotic therapy and shorten hospitalization.
Matta
Reva F
RF
Division of Pediatric Surgery, Department of Surgery, Saint George Hospital University Medical Center (SGHUMC), University of Balamand (UOB), Lebanon. mattareva@gmail.com
El Hajje
Marie-Joelle
MJ
Safadieh
Layal
L
Salem
George
G
Hmaimess
Ghassan
G
Korkomaz
Roger
R
Diab
Nabil A
NA
D000890:Anti-Infective Agents / Q000627:therapeutic use; D002176:Candida albicans / Q000302:isolation & purification*; D002177:Candidiasis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D002648:Child; D003646:Debridement; D006801:Humans; D007223:Infant; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D013249:Sternum / Q000473:pathology* / Q000601:surgery; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*
D000890:Anti-Infective Agents