Suppurative complications of acute hematogenous osteomyelitis in children.
We carried out a case-control study in children with acute hematogenous osteomyelitis (AHO) with and without suppurative complications discharged from our institution over an 11-year period to test the hypothesis that abscess formation was associated with a delayed presentation to care. Of 102 children with AHO, 54 abscesses were documented in 46 patients (25 bone, 29 muscle). A delay in presentation was not associated with abscess formation (6.5 vs. 5.0 days, P=0.26). Overall, 78% of all bone abscesses were visible on initial MRI. Consistent use of MRI at presentation may identify children with suppurative complications of AHO.
aUniversity of New Mexico School of Medicine bDepartment of Internal Medicine, Division of Epidemiology, Biostatistics, and Preventive Medicine cDepartment of Pediatrics, Division of Infectious Disease, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.
Jennifer J
JJ
Johnston
Cristina
C
Murray-Krezan
Walter
W
Dehority
D000038:Abscess / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D000208:Acute Disease; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009135:Muscular Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D010019:Osteomyelitis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D012720:Severity of Illness Index; D061665:Time-to-Treatment