title: Hematogenous osteomyelitis of the patella.
abstract: Osteomyelitis is an uncommon infection that is considered to be a childhood disease. Diagnosis is frequently delayed, as it is a very rare condition and also because of its variable presentation. After an accurate diagnosis and treatment, the outcome is favorable in children. We present one case without recent previous infection, antecedent trauma, or penetrating injury, illustrating the difficulties in diagnosis. Nontraumatic osteomyelitis of the patella should be regarded as a rare hematogenous infection. A high index of suspicion should be addressed for early recognition. Study design is level of evidence: level IV.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Avda. de Isabel la Católica 1-3, Zaragoza, Spain. jgilalba@unizar.es
authors.forename: Jorge
authors.initials: J
authors.lastname: Gil-Albarova
authors.forename: Victoria Eugenia
authors.initials: VE
authors.lastname: Gómez-Palacio
authors.forename: Antonio
authors.initials: A
authors.lastname: Herrera
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001769:Blood / Q000382:microbiology; D002439:Cefotaxime / Q000627:therapeutic use; D002648:Child; D003023:Cloxacillin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D010329:Patella / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology*; D011859:Radiography; D011877:Radionuclide Imaging; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002439:Cefotaxime; D003023:Cloxacillin