Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation

Osteomyelitis is a rare infectious disease in children, predominantly affecting long bones; however, its clinical presentation can be ambiguous if the location is atypical. Costal osteomyelitis is very rare in children and can mimic other pathologies. We present a case of a seven-month-old infant di...

Full description

Bibliographic Details
Main Authors: Rachida Lamiri, Ghada Habachi, Seyfeddine Zayani, Radhouane Ben Salah, Abir Daya, Mabrouk Abdelaali, Mongi Mekki, Nahla Kechiche, Lassaad Sahnoun
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324001900
_version_ 1797246812927557632
author Rachida Lamiri
Ghada Habachi
Seyfeddine Zayani
Radhouane Ben Salah
Abir Daya
Mabrouk Abdelaali
Mongi Mekki
Nahla Kechiche
Lassaad Sahnoun
author_facet Rachida Lamiri
Ghada Habachi
Seyfeddine Zayani
Radhouane Ben Salah
Abir Daya
Mabrouk Abdelaali
Mongi Mekki
Nahla Kechiche
Lassaad Sahnoun
author_sort Rachida Lamiri
collection DOAJ
description Osteomyelitis is a rare infectious disease in children, predominantly affecting long bones; however, its clinical presentation can be ambiguous if the location is atypical. Costal osteomyelitis is very rare in children and can mimic other pathologies. We present a case of a seven-month-old infant diagnosed with costal osteomyelitis complicated by rupture of a subperiosteal abscess into the pleura. His clinical condition improved with conservative treatment, which included chest drain insertion and intravenous antibiotic therapy without the need for surgical debridement. Rib osteomyelitis represents a potentially severe condition. Early detection is imperative to prevent the necessity for invasive therapies and mitigate long-term complications.
first_indexed 2024-04-24T19:48:45Z
format Article
id doaj.art-b3a829f684eb426ca041c7c4b4519956
institution Directory Open Access Journal
issn 1930-0433
language English
last_indexed 2024-04-24T19:48:45Z
publishDate 2024-06-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj.art-b3a829f684eb426ca041c7c4b45199562024-03-25T04:17:22ZengElsevierRadiology Case Reports1930-04332024-06-0119623622366Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentationRachida Lamiri0Ghada Habachi1Seyfeddine Zayani2Radhouane Ben Salah3Abir Daya4Mabrouk Abdelaali5Mongi Mekki6Nahla Kechiche7Lassaad Sahnoun8Pediatric surgery Department, University Hospital of Monastir, university of Monastir, Monastir, Tunisia; Corresponding author.Pediatric surgery Department, University Hospital of Monastir, university of Monastir, Monastir, TunisiaDepartment of Pediatrics, University Hospital of Monastir, university of Monastir, Monastir, TunisiaPediatric surgery Department, University Hospital of Monastir, university of Monastir, Monastir, TunisiaDepartment of Pediatrics, University Hospital of Monastir, university of Monastir, Monastir, TunisiaImagery Department, University Hospital of Monastir, university of Monastir, Monastir, TunisiaPediatric surgery Department, University Hospital of Monastir, university of Monastir, Monastir, TunisiaPediatric surgery Department, University Hospital of Monastir, university of Monastir, Monastir, TunisiaPediatric surgery Department, University Hospital of Monastir, university of Monastir, Monastir, TunisiaOsteomyelitis is a rare infectious disease in children, predominantly affecting long bones; however, its clinical presentation can be ambiguous if the location is atypical. Costal osteomyelitis is very rare in children and can mimic other pathologies. We present a case of a seven-month-old infant diagnosed with costal osteomyelitis complicated by rupture of a subperiosteal abscess into the pleura. His clinical condition improved with conservative treatment, which included chest drain insertion and intravenous antibiotic therapy without the need for surgical debridement. Rib osteomyelitis represents a potentially severe condition. Early detection is imperative to prevent the necessity for invasive therapies and mitigate long-term complications.http://www.sciencedirect.com/science/article/pii/S1930043324001900Costal osteomyelitisRibInfantRadiologic diagnosis
spellingShingle Rachida Lamiri
Ghada Habachi
Seyfeddine Zayani
Radhouane Ben Salah
Abir Daya
Mabrouk Abdelaali
Mongi Mekki
Nahla Kechiche
Lassaad Sahnoun
Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation
Radiology Case Reports
Costal osteomyelitis
Rib
Infant
Radiologic diagnosis
title Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation
title_full Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation
title_fullStr Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation
title_full_unstemmed Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation
title_short Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation
title_sort staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7 month old infant a misleading clinical presentation
topic Costal osteomyelitis
Rib
Infant
Radiologic diagnosis
url http://www.sciencedirect.com/science/article/pii/S1930043324001900
work_keys_str_mv AT rachidalamiri staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT ghadahabachi staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT seyfeddinezayani staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT radhouanebensalah staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT abirdaya staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT mabroukabdelaali staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT mongimekki staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT nahlakechiche staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation
AT lassaadsahnoun staphylococcusaureuscostalosteomyelitiswithcomplicatedbypleuraleffusionina7montholdinfantamisleadingclinicalpresentation