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Updated: Mar 11, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Neonatal osteomyelitis of the first rib causing lung abscess
Sijo K John1, Sundeep Payyanur Thotan1, Vijay Kumar1
1Department of Paediatric Surgery, Manipal University, Manipal, Karnataka, India.
Rib osteomyelitis is a rare bone infection affecting newborns, with acute cases being exceptionally uncommon and challenging to treat. Early diagnosis and prompt, aggressive management are crucial for reducing infant mortality and morbidity.
Area of Science:
- Pediatrics
- Infectious Diseases
- Skeletal System Infections
Background:
- Rib osteomyelitis (OM) is a rare condition, accounting for approximately 1% or less of all haematogenous osteomyelitis cases.
- Acute osteomyelitis specifically affecting the ribs is infrequently reported in medical literature.
- The management of rib osteomyelitis presents significant therapeutic challenges.
Observation:
- This study focuses on the rare occurrence and difficult treatment of acute rib osteomyelitis in newborns.
- The clinical presentation and diagnostic challenges of this condition are highlighted.
- The critical need for timely intervention in neonatal cases is emphasized.
Findings:
- Acute rib osteomyelitis is a rare but serious condition in newborns.
- Treatment protocols for this specific condition are not well-established, indicating a need for further research.
- Prompt recognition and aggressive treatment strategies are essential for positive patient outcomes.
Implications:
- Early detection and intervention are vital for improving survival rates in neonates with rib osteomyelitis.
- Aggressive treatment approaches may mitigate long-term complications and reduce morbidity.
- Further research into effective treatment strategies for neonatal rib osteomyelitis is warranted.
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