Open AccessSuppurative complications of acute hematogenous osteomyelitis in children
Author(s) -
Jennifer Johnston,
Cristina MurrayKrezan,
Walter Dehority
Publication year - 2017
Publication title -
journal of pediatric orthopedics. part b
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.432
H-Index - 52
eISSN - 1473-5865
pISSN - 1060-152X
DOI - 10.1097/bpb.0000000000000437
Subject(s) - medicine , presentation (obstetrics) , osteomyelitis , abscess , surgery
We carried out a case-control study in children with acute hematogenous osteomyelitis (AHO) with and without suppurative complications discharged from our institution over an 11-year period to test the hypothesis that abscess formation was associated with a delayed presentation to care. Of 102 children with AHO, 54 abscesses were documented in 46 patients (25 bone, 29 muscle). A delay in presentation was not associated with abscess formation (6.5 vs. 5.0 days, P=0.26). Overall, 78% of all bone abscesses were visible on initial MRI. Consistent use of MRI at presentation may identify children with suppurative complications of AHO.