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[Ischial osteomyelitis in children. Two case reports]
Acta Ortopedica Mexicana
|April 8, 2014
Summary
Ischial osteomyelitis, a rare childhood bone infection, requires excluding other conditions for diagnosis. Puncture biopsy confirms the infection, enabling targeted antibiotic treatment for a favorable outcome.
Area of Science:
- Pediatric Infectious Diseases
- Pediatric Orthopedics
- Pediatric Radiology
Background:
- Ischial osteomyelitis is an uncommon bone infection in children.
- Diagnosis often involves excluding more prevalent conditions presenting with coxalgia.
Observation:
- Two pediatric cases of ischial osteomyelitis are presented.
- Initial X-rays were unremarkable; physical exams revealed ischial tenderness without complete coxofemoral limitation.
- Magnetic Resonance Imaging (MRI) demonstrated findings consistent with ischial osteitis.
Findings:
- Puncture biopsy provided a definitive diagnosis in both cases.
- Targeted antibiotic therapy was initiated based on biopsy results.
- Both children experienced a favorable clinical course.
Implications:
- Ischial osteomyelitis should be considered in pediatric coxalgia evaluations after ruling out common causes.
- A comprehensive diagnostic approach, including advanced imaging and biopsy, is crucial for accurate diagnosis and effective treatment.
- Early diagnosis and treatment lead to positive long-term outcomes, allowing children to lead normal lives.
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