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Clivus osteomyelitis secondary to Enterococcus faecium infection in a 6-year-old girl

R Rusconi1, S Bergamaschi, A Cazzavillan

  • 1Department of Pediatrics, University of Milan, Clinica Pediatrica De Marchi, via Commenda 9, 20122 Milano, MI, Italy. dnakr@tin.it

International Journal of Pediatric Otorhinolaryngology
|May 17, 2005
PubMed

Insights

A rare clivus osteomyelitis in a child caused by Enterococcus faecium was successfully treated with abscess drainage and antibiotics. This case highlights effective management for this pediatric bone infection.

Area of Science:

  • Pediatric infectious diseases
  • Otolaryngology
  • Neurosurgery

Background:

  • Clivus osteomyelitis is an exceptionally rare condition, particularly in pediatric patients.
  • Enterococcus faecium is an uncommon pathogen for clivus osteomyelitis.

Observation:

  • A 6-year-old girl presented with clivus osteomyelitis due to Enterococcus faecium infection.
  • Magnetic resonance imaging (MRI) guided immediate drainage of a clival abscess via the posterior pharyngeal wall.

Findings:

  • The patient experienced rapid clinical improvement following surgical drainage and antibiotic treatment.
  • Long-term healing of the clivus osteomyelitis was achieved with no reported side effects.

Implications:

  • This case underscores the importance of prompt diagnosis and multidisciplinary management for pediatric clivus osteomyelitis.
  • Early intervention involving surgical drainage and targeted antibiotic therapy can lead to favorable outcomes in rare pediatric bone infections.

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