Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess
Osteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of res...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2016/3032518 |
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| author | Shishir Murugharaj Suranigi Manoj Joshi Pascal Noel Deniese Kanagasabai Rangasamy Syed Najimudeen James J. Gnanadoss |
| author_facet | Shishir Murugharaj Suranigi Manoj Joshi Pascal Noel Deniese Kanagasabai Rangasamy Syed Najimudeen James J. Gnanadoss |
| author_sort | Shishir Murugharaj Suranigi |
| collection | DOAJ |
| description | Osteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of residual adjoining abscess due to methicillin resistant staphylococcus aureus (MRSA) sepsis. We report a newborn female with right shoulder abscess that developed chronic clavicular osteomyelitis in follow-up period after drainage. She required multiple drainage procedures and was later successfully managed with bone curettage and debridement. We report this case to highlight that a MRSA abscess may recur due to residual infection from a chronic osteomyelitis sinus. It may be misdiagnosed as hypergranulation tissue of nonhealing wound leading to inappropriate delay in treatment. High index of suspicion, aggressive initial management, and regular follow-up are imperative to prevent this morbid complication. |
| format | Article |
| id | doaj-art-46213a210bf04c9580a54c136b9c183d |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-46213a210bf04c9580a54c136b9c183d2025-02-03T06:12:32ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/30325183032518Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA AbscessShishir Murugharaj Suranigi0Manoj Joshi1Pascal Noel Deniese2Kanagasabai Rangasamy3Syed Najimudeen4James J. Gnanadoss5Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, IndiaDepartment of Pediatric Surgery, Pondicherry Institute of Medical Sciences, Pondicherry 605014, IndiaDepartment of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, IndiaDepartment of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, IndiaDepartment of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, IndiaDepartment of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, IndiaOsteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of residual adjoining abscess due to methicillin resistant staphylococcus aureus (MRSA) sepsis. We report a newborn female with right shoulder abscess that developed chronic clavicular osteomyelitis in follow-up period after drainage. She required multiple drainage procedures and was later successfully managed with bone curettage and debridement. We report this case to highlight that a MRSA abscess may recur due to residual infection from a chronic osteomyelitis sinus. It may be misdiagnosed as hypergranulation tissue of nonhealing wound leading to inappropriate delay in treatment. High index of suspicion, aggressive initial management, and regular follow-up are imperative to prevent this morbid complication.http://dx.doi.org/10.1155/2016/3032518 |
| spellingShingle | Shishir Murugharaj Suranigi Manoj Joshi Pascal Noel Deniese Kanagasabai Rangasamy Syed Najimudeen James J. Gnanadoss Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess Case Reports in Pediatrics |
| title | Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess |
| title_full | Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess |
| title_fullStr | Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess |
| title_full_unstemmed | Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess |
| title_short | Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess |
| title_sort | chronic osteomyelitis of clavicle in a neonate report of morbid complication of adjoining mrsa abscess |
| url | http://dx.doi.org/10.1155/2016/3032518 |
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