title: Q Fever Chronic Osteomyelitis in Two Children.
abstract: We report 2 cases of chronic Q fever osteomyelitis in 10- and 5-year-old girls who presented with distal right femoral and left parasternal granulomatous osteomyelitis, respectively. Both were treated with ciprofloxacin and rifampin with good response. Q fever osteomyelitis is a challenging diagnosis in children, and the choice of antimicrobial treatment is difficult because of limited available data.
authors.affiliation: From the *Infecciology Unit, Pediatric Department, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central - Entidade Pública Empresarial, Lisbon, Portugal; †Pediatric Department, Hospital José Joaquim Fernandes - Unidade Local de Saúde do Baixo Alentejo - Beja, Portugal; ‡Centro de Estudos de Vectores e Doenças Infecciosas, Instituto Nacional de Saúde Dr Ricardo Jorge, Águas de Moura, Portugal; and §Orthopedic Unit, Pediatric Cirurgic Departement, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central - Entidade Pública Empresarial, Lisbon, Portugal.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Costa
authors.forename: Andreia
authors.initials: A
authors.lastname: Morais
authors.forename: Ana Sofia
authors.initials: AS
authors.lastname: Santos
authors.forename: Delfin
authors.initials: D
authors.lastname: Tavares
authors.forename: Graça
authors.initials: G
authors.lastname: Seves
authors.forename: Catarina
authors.initials: C
authors.lastname: Gouveia
mesh_terms: D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D005269:Femur / Q000473:pathology; D006801:Humans; D010019:Osteomyelitis; D011778:Q Fever