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Osteomyelitis of the pelvis due to Fusobacterium nucleatum
1Department of Orthopedics, British Columbia's Children's Hospital, Vancouver, BC.
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|December 1, 1991
Insights
Anaerobic pelvic osteomyelitis is rare in children. This case highlights Fusobacterium nucleatum infection and successful clindamycin treatment, emphasizing diagnostic aspirates for rare pediatric bone infections.
Area of Science:
- Pediatric infectious diseases
- Orthopedic surgery
- Microbiology
Background:
- Pelvic osteomyelitis, particularly anaerobic forms, is an uncommon pediatric condition.
- Fusobacterium nucleatum is a rare causative agent of osteomyelitis in children.
- Identifying risk factors and causative pathogens is crucial for effective treatment.
Observation:
- A child presented with osteomyelitis of the right ilium caused by Fusobacterium nucleatum.
- The child had no apparent predisposing risk factors for infection.
- Diagnostic aspiration was key in identifying the anaerobic pathogen.
Findings:
- Successful treatment was achieved using a combination of intravenous and oral clindamycin.
- The therapeutic regimen led to complete resolution of the pelvic osteomyelitis.
- This case underscores the importance of microbiological diagnosis in complex pediatric infections.
Implications:
- Highlights the potential for Fusobacterium nucleatum to cause osteomyelitis in immunocompetent children.
- Demonstrates the efficacy of clindamycin in treating anaerobic pelvic osteomyelitis.
- Reinforces the critical role of diagnostic aspiration in managing rare pediatric bone infections.
Abstract:
Anaerobic pelvic osteomyelitis occurs rarely in children. A case of Fusobacterium nucleatum osteomyelitis of the right ilium [correction of ileum] in a child without apparent risk factors is described. This case emphasizes the value of diagnostic aspirates. Therapy with a combination of intravenous and oral clindamycin led to successful resolution of the infection.