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Published on: February 9, 2011

Pediatric pelvic osteomyelitis

Joel D Klein1, Kathleen A Leach

  • 1Division of Infectious Diseases, Alfred I. duPont Hospital for Children, Wilmington, Delaware 19899, USA. jklein@nemours.org

Clinical Pediatrics
|July 21, 2007
PubMed

Insights

Pediatric pelvic osteomyelitis is rare. This study of 31 children found that delayed diagnosis and prolonged illness duration negatively impact outcomes for this bone infection.

Area of Science:

  • Pediatric infectious diseases
  • Pediatric orthopedics
  • Pediatric radiology

Background:

  • Pelvic osteomyelitis is an uncommon infection in children.
  • Early recognition and treatment are crucial for favorable outcomes.
  • This study addresses a gap in understanding pediatric pelvic osteomyelitis.

Purpose of the Study:

  • To describe the clinical characteristics, microbiology, and imaging findings of pediatric pelvic osteomyelitis.
  • To identify factors associated with delayed diagnosis and prolonged illness.
  • To emphasize the importance of timely diagnosis and intervention.

Main Methods:

  • Retrospective chart review of 31 pediatric patients diagnosed with pelvic osteomyelitis between 1998 and 2005.
  • Analysis of patient demographics, clinical presentations, causative microorganisms, affected bones, and imaging modalities.
  • Review of illness duration and diagnostic timelines.

Main Results:

  • The study identified 31 pediatric patients (19 males, 12 females) with pelvic osteomyelitis.
  • Common presenting symptoms included pain, fever, limp, and decreased weight-bearing.
  • Staphylococcus aureus was the most common pathogen; acetabulum/ilium were most frequently involved bones.

Conclusions:

  • Pediatric pelvic osteomyelitis requires prompt diagnosis and management.
  • Prolonged illness duration and delayed diagnosis are significant concerns.
  • This series highlights the need for increased awareness and efficient diagnostic pathways for pediatric pelvic osteomyelitis.

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