title: Primary sternal osteomyelitis: a report of two cases with literature review.
abstract: 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.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Saint George Hospital University Medical Center (SGHUMC), University of Balamand (UOB), Lebanon. mattareva@gmail.com
authors.forename: Reva F
authors.initials: RF
authors.lastname: Matta
authors.forename: Marie-Joelle
authors.initials: MJ
authors.lastname: El Hajje
authors.forename: Layal
authors.initials: L
authors.lastname: Safadieh
authors.forename: George
authors.initials: G
authors.lastname: Salem
authors.forename: Ghassan
authors.initials: G
authors.lastname: Hmaimess
authors.forename: Roger
authors.initials: R
authors.lastname: Korkomaz
authors.forename: Nabil A
authors.initials: NA
authors.lastname: Diab
mesh_terms: 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*
chemical_list: D000890:Anti-Infective Agents