A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding Fracture
Abstract Acute osteomyelitis is uncommon in full-term neonates and occurs most frequently in those with critical illnesses, often following episodes of sepsis, skin infection, umbilical catheterization, urinary tract anomalies, or a complicated delivery. Here, we report a very rare case of acute rib...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2016-02-01
|
| Series: | American Journal of Perinatology Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1570320 |
| _version_ | 1828835969571225600 |
|---|---|
| author | Sahoko Ono Hiroki Fujimoto Yutaka Kawamoto |
| author_facet | Sahoko Ono Hiroki Fujimoto Yutaka Kawamoto |
| author_sort | Sahoko Ono |
| collection | DOAJ |
| description | Abstract
Acute osteomyelitis is uncommon in full-term neonates and occurs most frequently in those with critical illnesses, often following episodes of sepsis, skin infection, umbilical catheterization, urinary tract anomalies, or a complicated delivery. Here, we report a very rare case of acute rib osteomyelitis due to Staphylococcus aureus in a 13-day-old full-term male neonate. Ultrasonography (US) enabled diagnosis and revealed a coexisting costochondral junction rib fracture, which was not detected on routine chest radiography. Following a 29-day course of intensive parenteral antibiotic therapy, the patient was discharged in good health at 42 days of age without any scar formation. Due to its accessibility and safety, US can be a promising modality for detecting acute osteomyelitis in neonates with clinically highly suspected conditions in the neonatal intensive care unit setting, particularly those involving thin and mobile bones subject to respiratory motion. However, further studies are required to assess the utility of US in these cases and negative results. In low-risk neonates with osteomyelitis, an accompanying fracture should be considered. |
| first_indexed | 2024-12-12T18:13:30Z |
| format | Article |
| id | doaj.art-34448054d9234cf3b75b3996c5e58e35 |
| institution | Directory Open Access Journal |
| issn | 2157-6998 2157-7005 |
| language | English |
| last_indexed | 2024-12-12T18:13:30Z |
| publishDate | 2016-02-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | American Journal of Perinatology Reports |
| spelling | doaj.art-34448054d9234cf3b75b3996c5e58e352022-12-22T00:16:20ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052016-02-010601e104e10710.1055/s-0035-1570320A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding FractureSahoko Ono0Hiroki Fujimoto1Yutaka Kawamoto2Department of Pediatrics, Kawasaki Medical School, Kurashiki, Okayama, JapanDepartment of Neonatology, Kawasaki Medical School, Kurashiki, Okayama, JapanDepartment of Neonatology, Kawasaki Medical School, Kurashiki, Okayama, JapanAbstract Acute osteomyelitis is uncommon in full-term neonates and occurs most frequently in those with critical illnesses, often following episodes of sepsis, skin infection, umbilical catheterization, urinary tract anomalies, or a complicated delivery. Here, we report a very rare case of acute rib osteomyelitis due to Staphylococcus aureus in a 13-day-old full-term male neonate. Ultrasonography (US) enabled diagnosis and revealed a coexisting costochondral junction rib fracture, which was not detected on routine chest radiography. Following a 29-day course of intensive parenteral antibiotic therapy, the patient was discharged in good health at 42 days of age without any scar formation. Due to its accessibility and safety, US can be a promising modality for detecting acute osteomyelitis in neonates with clinically highly suspected conditions in the neonatal intensive care unit setting, particularly those involving thin and mobile bones subject to respiratory motion. However, further studies are required to assess the utility of US in these cases and negative results. In low-risk neonates with osteomyelitis, an accompanying fracture should be considered.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1570320ribrib fracturesosteomyelitisnewbornultrasonography |
| spellingShingle | Sahoko Ono Hiroki Fujimoto Yutaka Kawamoto A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding Fracture American Journal of Perinatology Reports rib rib fractures osteomyelitis newborn ultrasonography |
| title | A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding Fracture |
| title_full | A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding Fracture |
| title_fullStr | A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding Fracture |
| title_full_unstemmed | A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding Fracture |
| title_short | A Rare Full-Term Newborn Case of Rib Osteomyelitis with Suspected Preceding Fracture |
| title_sort | rare full term newborn case of rib osteomyelitis with suspected preceding fracture |
| topic | rib rib fractures osteomyelitis newborn ultrasonography |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1570320 |
| work_keys_str_mv | AT sahokoono ararefulltermnewborncaseofribosteomyelitiswithsuspectedprecedingfracture AT hirokifujimoto ararefulltermnewborncaseofribosteomyelitiswithsuspectedprecedingfracture AT yutakakawamoto ararefulltermnewborncaseofribosteomyelitiswithsuspectedprecedingfracture AT sahokoono rarefulltermnewborncaseofribosteomyelitiswithsuspectedprecedingfracture AT hirokifujimoto rarefulltermnewborncaseofribosteomyelitiswithsuspectedprecedingfracture AT yutakakawamoto rarefulltermnewborncaseofribosteomyelitiswithsuspectedprecedingfracture |