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Using a decision tool to evaluate for osteomyelitis in children
Jason J Good1, Michael J Rabener, Geoffrey W Fisher
1Jason J. Good practices in the ED at Wright-Patterson Medical Center, Wright Patterson AFB, Ohio. Michael J. Rabener is program director of the US Air Force Emergency Medicine PA DSc residency at the San Antonio (Tex.) Military Medical Center. Geoffrey W. Fisher practices as a Battalion Flight Surgeon with the 2-10 Aviation Helicopter Battalion, 10th Calvary Brigade, Fort Drum, New York. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Osteomyelitis is a common occurrence in children and typically has a prolonged treatment course involving multiple specialties. Historically, the long bones are most commonly affected and Staphylococcus aureus is the primary causative organism.This case shows the value of using the Kocher criteria and acute phase reactant C-reactive protein as diagnostic tools that can be used to advocate MRI to rule out this potentially devastating process.
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