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Caval thrombectomy for severe staphylococcal osteomyelitis

L Smith1, J Hamill, R Metcalf

  • 1Department of Paediatric Surgery, Starship Children's Health, Auckland, New Zealand.

Journal of Pediatric Surgery
|January 1, 1997
PubMed
Summary
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Inferior vena cava thrombosis in children can occur with staphylococcal osteomyelitis. Caval thrombectomy may improve outcomes in these critical cases, as suggested by a survivor's recovery.

Area of Science:

  • Pediatric Infectious Diseases
  • Vascular Surgery
  • Hematology

Background:

  • Staphylococcal osteomyelitis can lead to severe complications in children.
  • Septic embolization can cause widespread infections, including pneumonia.
  • Inferior vena cava (IVC) thrombosis is a rare but serious complication.

Observation:

  • Two pediatric cases of acute staphylococcal osteomyelitis with associated IVC thrombosis are presented.
  • Both patients had diffuse bilateral staphylococcal pneumonia.
  • Similarities in illness and management were noted between the two cases.

Findings:

  • One child with left femoral osteomyelitis and IVC thrombosis survived.
  • The surviving child underwent a caval thrombectomy during the acute phase of illness.

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  • The other child, with left iliac osteomyelitis, did not undergo thrombectomy and did not survive.

    • Implications:

    • Caval thrombectomy may be a crucial intervention for pediatric IVC thrombosis secondary to staphylococcal infections.
    • Early surgical intervention might improve survival rates in complex pediatric vascular emergencies.
    • This case series highlights the potential link between severe staphylococcal infections and thrombotic events in children.