Open AccessChallenges in Diagnosis of ChronicOsteomyelitis : ACase Report from Sri Lanka
Author(s) -
Vijayakumary Thadchanamoorthy,
Kavinda Dayasiri
Publication year - 2020
Publication title -
international journal of human and health sciences
Language(s) - English
Resource type - Journals
ISSN - 2523-692X
DOI - 10.31344/ijhhs.v5i1.246
Subject(s) - osteomyelitis , medicine , orthopedic surgery , sri lanka , penicillin , tibia , staphylococcus aureus , antibiotics , health care , surgery , pediatrics , general surgery , ethnology , genetics , south asia , biology , bacteria , microbiology and biotechnology , history , economics , economic growth
The prevalence of osteomyelitis has been continuously decreasing in children with improvement of health care services and introduction of Hemophilus and Pneumococcal vaccines. Despite this, diagnosis and management of osteomyelitis are often a challenge to pediatricians as well as orthopedic surgeons. We report a 13-year old boy who had been treated as for rheumatic fever over 2 years with Benzathene penicillin, but ultimately turned out to have chronic osteomyelitis of right tibia. Evidence of chronic osteomyelitis was radiologically confirmed by X-ray and Computerized tomogram (CT) of right tibia and pus cultures grew staphylococcus aureus. Clinical features and biochemical markers completely resolved upon debridement of pus and intravenous antibiotics. He is currently on follow up at the orthopedic and pediatric clinics in the local hospital.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 118-121