title: Bilateral acute tibial osteomyelitis in a patient without an underlying disease: a case report.
abstract: BACKGROUND
  The simultaneous presentation of osteomyelitis in more than one bone is rare and is commonly accompanied by a chronic disease. Even in such cases, other conditions that arise commonly in the long bones of children--such as chronic recurrent multifocal osteomyelitis and Ewing's sarcoma--must be ruled out.
  
  
  METHODS
  We present the case of a 5-year-old boy with bilateral acute tibial osteomyelitis without an underlying chronic disease who was treated with surgical debridement. We also review the pertinent literature.
  
  
  CONCLUSIONS
  Early diagnosis, appropriate antibiotic therapy, and timely surgical intervention--including proactive efforts to prevent fractures--all increase the chance of a successful outcome for these patients.
authors.affiliation: Department of Orthopedics and Traumatology, Harran University Medical Faculty, Yenisehir Street, 63000 Sanliurfa, Turkey. drserkans@gmail.com.
authors.forename: Serkan
authors.initials: S
authors.lastname: Sipahioglu
authors.forename: Huseyin
authors.initials: H
authors.lastname: Askar
authors.forename: Sinan
authors.initials: S
authors.lastname: Zehir
mesh_terms: D000208:Acute Disease; D001859:Bone Neoplasms / Q000175:diagnosis; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D012512:Sarcoma, Ewing / Q000175:diagnosis; D013977:Tibia / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery