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Suppurative complications of acute hematogenous osteomyelitis in children

Jennifer J Johnston1, Cristina Murray-Krezan, Walter Dehority

  • 1aUniversity of New Mexico School of Medicine bDepartment of Internal Medicine, Division of Epidemiology, Biostatistics, and Preventive Medicine cDepartment of Pediatrics, Division of Infectious Disease, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.

Journal of Pediatric Orthopedics. Part B
|February 10, 2017
PubMed

Insights

Delayed presentation did not increase abscess risk in children with acute hematogenous osteomyelitis (AHO). However, initial MRI scans effectively identified bone abscesses, aiding in early detection of suppurative complications.

Area of Science:

  • Pediatric Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • Acute hematogenous osteomyelitis (AHO) is a bone infection in children.
  • Suppurative complications, such as abscess formation, can occur.
  • Early diagnosis and management are crucial to prevent long-term sequelae.

Purpose of the Study:

  • To investigate the association between delayed presentation and abscess formation in pediatric AHO.
  • To evaluate the utility of initial magnetic resonance imaging (MRI) in detecting suppurative complications.

Main Methods:

  • A case-control study was conducted over 11 years.
  • Children with AHO were analyzed for the presence of bone or muscle abscesses.
  • Presentation times and initial MRI findings were compared between groups.

Main Results:

  • No significant association was found between delayed presentation and abscess formation (6.5 vs. 5.0 days, P=0.26).
  • Abscesses were present in 46 out of 102 children with AHO.
  • Initial MRI scans detected 78% of bone abscesses.

Conclusions:

  • Delayed presentation is not a primary risk factor for abscess formation in pediatric AHO.
  • Consistent use of MRI at presentation is valuable for identifying suppurative complications.
  • Prompt MRI may lead to earlier intervention for children with AHO and abscesses.

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