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[Tibial osteomyelitis following intraosseous infusion: a case report]

Ali Doğan1, Hasan Irmak, Mustafa Harman

  • 1Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Yüzüncü Yil University, Van, Turkey. alidogan67@hotmail.com

Acta Orthopaedica Et Traumatologica Turcica
|February 23, 2005
PubMed

Insights

Intraosseous infusion in infants can lead to rare complications like Candida albicans osteomyelitis. Prompt diagnosis and antifungal treatment are crucial for recovery.

Area of Science:

  • Pediatric Emergency Medicine
  • Infectious Diseases
  • Pediatric Orthopedics

Background:

  • Intraosseous infusion is a critical route for emergency fluid and medication delivery in pediatric patients.
  • This method is particularly vital in infants and young children during critical care scenarios.

Observation:

  • A 5-month-old infant receiving intraosseous infusion developed localized swelling and hyperemia at the infusion site.
  • Clinical examination revealed a fistula with serous discharge, and radiographic imaging showed periosteal reaction and osteolytic lesions in the proximal tibia.

Findings:

  • The infant was diagnosed with acute osteomyelitis, confirmed by surgical site cultures yielding Candida albicans.
  • Treatment involved surgical drainage, medullary irrigation, parenteral antibiotics, and a four-week course of fluconazole.

Implications:

  • This case highlights a rare but serious complication of intraosseous infusion in infants.
  • Early recognition, appropriate diagnostic workup, and targeted antifungal therapy are essential for successful management of fungal osteomyelitis in this population.

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