BibTex RIS Cite

A case of chickenpox complicated with subacute osteomyelitis

Year 2016, Volume: 29 Issue: 2, 110 - 113, 01.04.2016
https://doi.org/10.5472/MMJcr.2902.01

Abstract

Chickenpox is a viral disease characterized by vesicular skin eruptions. It is commonly encountered during childhood and generally follows a benign course without complications. The most common complications are secondary bacterial skin infections ranging from superficial impetigo to subcutaneous abscess. Musculoskeletal complications like septic arthritis and osteomyelitis are rarely seen. In any child complaining of bone pain or arthralgia, during or after healing of varicella eruptions, the possibility of osteomyelitis and septic arthritis should be kept in mind. Early diagnosis is important because with the use of appropriate antibiotics, the need for surgical interventions and sequela can be prevented. Here, we present a case of subacute osteomyelitis that needed antibiotic and surgical treatment, whose initial symptom was right ankle pain that developed after three weeks of chicken pox.Keywords: Chickenpox, Child, Complication, Osteomyelitis

References

  • Mueller NH, Gilden DH, Cohrs RJ, Mahalingam R, Nagel MA.Varicella zoster virus infection: clinical features, molecular pathogenesis of disease, and latency. Neurol Clin 2008;26:675-97, doi: 10.1016/j.ncl.2008.03.011.
  • Choo PW, Donahue JG, Manson JE, Platt R. The epidemiology of varicella and its complications. J Infect Dis 1995;172:706-12.
  • Aebi C, Ahmed A, Ramilo O. Bacterial complications of primary varicella in childdren. Clin Infect Dis 1996;23:698-705.
  • Koturoglu G, Kurugöl Z, Çetin N, et al. Complications of varicella in healthy children in Izmir, Turkey. Pediatrics International 2005;47:296-9.
  • Ziebold C, von Kries R, Lang R, Weigl J, Schmitt HJ. Severe complications of varicella in previously healthy children in Germany: a 1-year survey. Pediatrics 2001;108: E79.
  • Laxer RM, Lindsey CB. Arthritis related to infection. In: Cassidy JT, Petty RE, Laxer RM, Lindsey CB, editors. Textbook of Pediatric Rheumatology. 6th ed. Philadelphia: Saunders, 2011:559-78.
  • Dinleyici EC, Kurugol Z, Turel O, et al. The epidemiology and economic impact of varicella-related hospitalizations in Turkey from 2008 to 2010: a nationwide survey during the prevaccine era (VARICOMP study). Eur J Pediatr 2012;171:817-25. doi: 10.1007/s00431-011-1650-z.
  • Özdemir H, Çandır MO, Karbuz A, et al. Chickenpox complications, incidence and financial burden in previously healthy children and those with an underlying disease in Ankara in the pre-vaccination period. Turk J Pediatr 2011;53:614-25.
  • Borgen L, Haakonsen MO, Gudmundsen TE, Solheim D, Stensvold K. Acute osteomyelitis as a complication of varicella. Acta Radiol 2005;46:652-6.
  • Bozzola E, Krzystofiak A, Lancella L, Quondamcarlo A, Villani A. A severe case of paediatric group A streptococcal osteomyelitis in varicella. Infection 2012;40:343-5. doi: 10.1007/s15010-011-0195-4.
  • McCarthy JJ, Dormans JP, Kozin SH, et al. Musculoskeletal infections in children: basic treatment principles and recent advancements. J Bone Joint Surg Am 2004; 86:850-63.
  • Kaplan PA, Helms CA, Dussault R, Anderson MW, Major NM. Muskuloskeletal infections. In: Musculoskeletal MRI. 1st ed. Philadelphia: Saunders: 2001.
  • Cottias P, Tomeno B, Anract P, Vinh TS, Forest M. Subacute osteomyelitis presenting as a bone tumour. A review of 21 cases. Int Orthop 1997;21:243-8.
  • Shimose S, Sugita T, Kubo T, Matsuo T, Nobuto H, Ochi M. Differential diagnosis between osteomyelitis and bone tumors. Acta Radiol 2008;49:928-33. doi:10.1080/02841850802241809
  • Bittmann S. Bacterial osteomyelitis after varicella infection in children. J Bone Miner Metab 2004;22:283-5.
  • Hamdy RC, Lawton L, Carey T, Wiley J, Marton D. Subacute hematogenous osteomyelitis: are biopsy and surgery always indicated? J Pediatr Orthop 1996;16:220-3.

A case of chickenpox complicated with subacute osteomyelitis

Year 2016, Volume: 29 Issue: 2, 110 - 113, 01.04.2016
https://doi.org/10.5472/MMJcr.2902.01

Abstract

Chickenpox is a viral disease characterized by vesicular skin eruptions. It is commonly encountered during childhood and generally follows a benign course without complications. The most common complications are secondary bacterial skin infections ranging from superficial impetigo to subcutaneous abscess. Musculoskeletal complications like septic arthritis and osteomyelitis are rarely seen. In any child complaining of bone pain or arthralgia, during or after healing of varicella eruptions, the possibility of osteomyelitis and septic arthritis should be kept in mind. Early diagnosis is important because with the use of appropriate antibiotics, the need for surgical interventions and sequela can be prevented. Here, we present a case of subacute osteomyelitis that needed antibiotic and surgical treatment, whose initial symptom was right ankle pain that developed after three weeks of chicken pox.Keywords: Chickenpox, Child, Complication, Osteomyelitis

References

  • Mueller NH, Gilden DH, Cohrs RJ, Mahalingam R, Nagel MA.Varicella zoster virus infection: clinical features, molecular pathogenesis of disease, and latency. Neurol Clin 2008;26:675-97, doi: 10.1016/j.ncl.2008.03.011.
  • Choo PW, Donahue JG, Manson JE, Platt R. The epidemiology of varicella and its complications. J Infect Dis 1995;172:706-12.
  • Aebi C, Ahmed A, Ramilo O. Bacterial complications of primary varicella in childdren. Clin Infect Dis 1996;23:698-705.
  • Koturoglu G, Kurugöl Z, Çetin N, et al. Complications of varicella in healthy children in Izmir, Turkey. Pediatrics International 2005;47:296-9.
  • Ziebold C, von Kries R, Lang R, Weigl J, Schmitt HJ. Severe complications of varicella in previously healthy children in Germany: a 1-year survey. Pediatrics 2001;108: E79.
  • Laxer RM, Lindsey CB. Arthritis related to infection. In: Cassidy JT, Petty RE, Laxer RM, Lindsey CB, editors. Textbook of Pediatric Rheumatology. 6th ed. Philadelphia: Saunders, 2011:559-78.
  • Dinleyici EC, Kurugol Z, Turel O, et al. The epidemiology and economic impact of varicella-related hospitalizations in Turkey from 2008 to 2010: a nationwide survey during the prevaccine era (VARICOMP study). Eur J Pediatr 2012;171:817-25. doi: 10.1007/s00431-011-1650-z.
  • Özdemir H, Çandır MO, Karbuz A, et al. Chickenpox complications, incidence and financial burden in previously healthy children and those with an underlying disease in Ankara in the pre-vaccination period. Turk J Pediatr 2011;53:614-25.
  • Borgen L, Haakonsen MO, Gudmundsen TE, Solheim D, Stensvold K. Acute osteomyelitis as a complication of varicella. Acta Radiol 2005;46:652-6.
  • Bozzola E, Krzystofiak A, Lancella L, Quondamcarlo A, Villani A. A severe case of paediatric group A streptococcal osteomyelitis in varicella. Infection 2012;40:343-5. doi: 10.1007/s15010-011-0195-4.
  • McCarthy JJ, Dormans JP, Kozin SH, et al. Musculoskeletal infections in children: basic treatment principles and recent advancements. J Bone Joint Surg Am 2004; 86:850-63.
  • Kaplan PA, Helms CA, Dussault R, Anderson MW, Major NM. Muskuloskeletal infections. In: Musculoskeletal MRI. 1st ed. Philadelphia: Saunders: 2001.
  • Cottias P, Tomeno B, Anract P, Vinh TS, Forest M. Subacute osteomyelitis presenting as a bone tumour. A review of 21 cases. Int Orthop 1997;21:243-8.
  • Shimose S, Sugita T, Kubo T, Matsuo T, Nobuto H, Ochi M. Differential diagnosis between osteomyelitis and bone tumors. Acta Radiol 2008;49:928-33. doi:10.1080/02841850802241809
  • Bittmann S. Bacterial osteomyelitis after varicella infection in children. J Bone Miner Metab 2004;22:283-5.
  • Hamdy RC, Lawton L, Carey T, Wiley J, Marton D. Subacute hematogenous osteomyelitis: are biopsy and surgery always indicated? J Pediatr Orthop 1996;16:220-3.
There are 16 citations in total.

Details

Subjects Clinical Sciences
Other ID JA77FE86FE
Journal Section Review Makaleler
Authors

Mustafa Çakan This is me

Nuray Aktay Ayaz This is me

Timur Yıldırım This is me

Hamide Sevinç Genç This is me

Ali Er This is me

Gonca Keskindemirci This is me

Publication Date April 1, 2016
Published in Issue Year 2016 Volume: 29 Issue: 2

Cite

APA Çakan, M., Ayaz, N. A., Yıldırım, T., Genç, H. S., et al. (2016). A case of chickenpox complicated with subacute osteomyelitis. Marmara Medical Journal, 29(2), 110-113. https://doi.org/10.5472/MMJcr.2902.01
AMA Çakan M, Ayaz NA, Yıldırım T, Genç HS, Er A, Keskindemirci G. A case of chickenpox complicated with subacute osteomyelitis. Marmara Med J. April 2016;29(2):110-113. doi:10.5472/MMJcr.2902.01
Chicago Çakan, Mustafa, Nuray Aktay Ayaz, Timur Yıldırım, Hamide Sevinç Genç, Ali Er, and Gonca Keskindemirci. “A Case of Chickenpox Complicated With Subacute Osteomyelitis”. Marmara Medical Journal 29, no. 2 (April 2016): 110-13. https://doi.org/10.5472/MMJcr.2902.01.
EndNote Çakan M, Ayaz NA, Yıldırım T, Genç HS, Er A, Keskindemirci G (April 1, 2016) A case of chickenpox complicated with subacute osteomyelitis. Marmara Medical Journal 29 2 110–113.
IEEE M. Çakan, N. A. Ayaz, T. Yıldırım, H. S. Genç, A. Er, and G. Keskindemirci, “A case of chickenpox complicated with subacute osteomyelitis”, Marmara Med J, vol. 29, no. 2, pp. 110–113, 2016, doi: 10.5472/MMJcr.2902.01.
ISNAD Çakan, Mustafa et al. “A Case of Chickenpox Complicated With Subacute Osteomyelitis”. Marmara Medical Journal 29/2 (April 2016), 110-113. https://doi.org/10.5472/MMJcr.2902.01.
JAMA Çakan M, Ayaz NA, Yıldırım T, Genç HS, Er A, Keskindemirci G. A case of chickenpox complicated with subacute osteomyelitis. Marmara Med J. 2016;29:110–113.
MLA Çakan, Mustafa et al. “A Case of Chickenpox Complicated With Subacute Osteomyelitis”. Marmara Medical Journal, vol. 29, no. 2, 2016, pp. 110-3, doi:10.5472/MMJcr.2902.01.
Vancouver Çakan M, Ayaz NA, Yıldırım T, Genç HS, Er A, Keskindemirci G. A case of chickenpox complicated with subacute osteomyelitis. Marmara Med J. 2016;29(2):110-3.