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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
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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.

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  • 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.