Multifocal bacterial osteomyelitis after varicella infection: a rare but dreaded complication of chickenpox.
Chickenpox is an infectious disease common in children, which in most cases is benign toward the self-limited resolution. There are, however, serious systemic and musculoskeletal complications, especially in patients with immunosuppression. We report a case of multifocal skeletal muscle involvement, as a complication of chickenpox by Streptococcus pyogenes.
Department of Traumatology and Orthopaedic Surgery, Complejo Hospitalario Universitario de Albacete, Calle Hermanos Falcó sn, 02006, Albacete, Spain, coxnix@yahoo.es.
David
D
Gallach Sanchis
Francisco
F
Doñate Pérez
Plácido
P
Jiménez Ortega
D001170:Arthritis, Infectious / Q000209:etiology; D016470:Bacteremia / Q000209:etiology / Q000382:microbiology; D002644:Chickenpox / Q000150:complications*; D002675:Child, Preschool; D060085:Coinfection / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D006811:Humerus / Q000382:microbiology / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging; D051359:Lymphohistiocytosis, Hemophagocytic / Q000175:diagnosis; D008297:Male; D010014:Osteolysis / Q000209:etiology; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D013203:Staphylococcal Infections / Q000150:complications / Q000382:microbiology; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D013290:Streptococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D015163:Superinfection / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D014463:Ultrasonography