[Primary epiphyseal osteomyelitis in children].

Area of Science:

• Pediatric Orthopedics
• Infectious Diseases
• Radiology

Background:

• Hematogenous osteomyelitis commonly affects the metaphysis.
• Epiphyseal involvement is rare and diagnostically challenging.

Observation:

• A 4-year-old boy presented with distal femur osteomyelitis.
• Initial needle biopsy and aspiration were negative.
• Bone scan and radiographs revealed primary epiphyseal osteomyelitis.

Findings:

• Complete clinical and radiographic healing was achieved.
• Treatment involved Penbritin and Orbenil (2g each).
• Healing occurred 7 weeks post-treatment initiation.

Implications:

• Highlights the importance of considering epiphyseal osteomyelitis in pediatric cases.
• Demonstrates successful treatment outcomes with specific antibiotics.
• Emphasizes the role of advanced imaging in diagnosing rare bone infections.