Öz
Introduction: Osteomyelitis and septic arthritis which can be seen in the neonatal period are infections that are difficult to treat. The prognosis of the osteoarticular infections in newborns are poor and requires immediate treatment as soon as the diagnosis is suspected.
Case: Our case was a female infant and born as twins at 30+3/7 weeks of gestation by cesarean section. Her birthweight was 1635 gr. In the postnatal twelfth day, tenderness was recognized during her leg movements. Radiological imaging examinations were normal. In the postnatal twentieth day fever, swelling and decreased movements of the upper part of the left leg were detected. Radiography revealed bone destruction. Antibiotic therapy was started and treatment was continued for six weeks. After the end of therapy she was discharged from the hospital.
Conclusion: We present our case to provide information about the diagnosis and treatment of the osteoarticular infections in the neonatal period according to the literature.
Anahtar Kelimeler
Kaynakça
- Schiavon R, Borgo A, Micaglio A. Septic physeal separation of proximal femur in a newborn. J Orthop Traumatol 2009;10(2):105-10.
- Overturf GD. Bacterial Infections of the Bones and Joints. In: Remington JS, Klein JO, Wilson CB, and Baker CJ. Infectious Diseases of the Fetus and Newborn, 7th ed. 2010. 8: 296-306.
- Cooperman DR, Thompson GH. Bone and joint infections. In: Martin RJ, Fanaroff AA, Walsh MC. Neonatal- Perinatal Medicine Diseases of the Fetus and Infant, 9th ed. 2011. 6: 1778- 1780.
- Bünyamin B, Cevit Ö, Tanzer F, Türkay S. Yenidoğan osteomiyeliti. Türkiye Klinikleri J Med Sci 1996;16:90-92.
- Karakaki E, Alizigakis A, Manuora A. Methicillin- Resistant Staphylococcus aureus Osteomyelitis and Septic Arthritis in Neonates: Diagnosis and Management. Jpn J Infect Dis2007;60:129-131
- Riise QR, Kirkhus E, Handeland KS, Flato B, Reiseter T, Cvancarova M, Nakstad B, Wathne KO. Childhood osteomyelitis-incidence and differentiation from other acute onset musculoskeletal features in a population-based study. BMC Pediatr 2008;20:8-45.
- Matic A, Gajdobranski D, Petkovic L, Velisavljev FG, Ristivojevic A. Acute osteomyelitis and septic arthritis of the shoulder in premature neonates--report of two cases. Med Pregl 2012;65(1-2):59-64.
- Winkler S, Dai L, Hauck F, Dinger J, Pessler F. Primary osteomyelitis of the clavicle in the newborn period. Pediatr Infect Dis J 2012;31(2):211.
- Sandal G, Uras N, Akar M, Oguz SS, Erdeve O, Dilmen U. Iliac osteomyelitis in a newborn: a case report. Journal of Pediatric Orthopaedics B 2012; 21:404–6.
- Nar MK, Kau KE, Wu CH. Septic arthritis and acute osteomyelitis in early infancy. Clin Neonatol 1999;6:9-13.
- Offiah AC. Acute osteomyelitis, septic arthritis and discitis: differences between neonates and older children. Eur J Radiol 2006;60:221-32.
- Ercan T. Klinik Radyoloji, 2008:710-3.
- Zeynep Y, Ercan T. Çocuk Hastalıklarında Radyolojik Bulgular, 2002:220-222.
Öz
Giriş: Osteomiyelit ve septik artrit yenidoğan döneminde de görülebilen ve tedavisi zor olan enfeksiyonlardır. Yenidoğanda osteoartiküler enfeksiyonların prognozu kötü olup tanıdan şüphelenildiği anda acil tedavi gerektirir.
Olgu: Vakamız 30+3/7 haftalık, ikiz eşi olarak sezeryan ile kız bebek olarak doğdu. Doğum ağırlığı 1635 gr idi. Postnatal 12. gününde bacak hareketleri sırasında hassasiyet tespit edildi. Radyolojik incelemesi normal olarak bulundu. Postnatal 20. gününde ateş, sol üst bacakta şişlik ve hareketlerde azalma saptandı. Düz grafide kemik harabiyeti tesbit edildi. Antibiyotik tedavisi başlanarak tedavisi 6 haftaya tamamlandı. Tedavi bitiminden sonra hastamız taburcu edildi.
Sonuç: Bu olgumuzu, yenidoğan döneminde görülen osteoartiküler enfeksiyonların tanı ve tedavisiyle ilgili bilgi vermek için literatür eşliğinde sunduk.
Anahtar Kelimeler
Kaynakça
- Schiavon R, Borgo A, Micaglio A. Septic physeal separation of proximal femur in a newborn. J Orthop Traumatol 2009;10(2):105-10.
- Overturf GD. Bacterial Infections of the Bones and Joints. In: Remington JS, Klein JO, Wilson CB, and Baker CJ. Infectious Diseases of the Fetus and Newborn, 7th ed. 2010. 8: 296-306.
- Cooperman DR, Thompson GH. Bone and joint infections. In: Martin RJ, Fanaroff AA, Walsh MC. Neonatal- Perinatal Medicine Diseases of the Fetus and Infant, 9th ed. 2011. 6: 1778- 1780.
- Bünyamin B, Cevit Ö, Tanzer F, Türkay S. Yenidoğan osteomiyeliti. Türkiye Klinikleri J Med Sci 1996;16:90-92.
- Karakaki E, Alizigakis A, Manuora A. Methicillin- Resistant Staphylococcus aureus Osteomyelitis and Septic Arthritis in Neonates: Diagnosis and Management. Jpn J Infect Dis2007;60:129-131
- Riise QR, Kirkhus E, Handeland KS, Flato B, Reiseter T, Cvancarova M, Nakstad B, Wathne KO. Childhood osteomyelitis-incidence and differentiation from other acute onset musculoskeletal features in a population-based study. BMC Pediatr 2008;20:8-45.
- Matic A, Gajdobranski D, Petkovic L, Velisavljev FG, Ristivojevic A. Acute osteomyelitis and septic arthritis of the shoulder in premature neonates--report of two cases. Med Pregl 2012;65(1-2):59-64.
- Winkler S, Dai L, Hauck F, Dinger J, Pessler F. Primary osteomyelitis of the clavicle in the newborn period. Pediatr Infect Dis J 2012;31(2):211.
- Sandal G, Uras N, Akar M, Oguz SS, Erdeve O, Dilmen U. Iliac osteomyelitis in a newborn: a case report. Journal of Pediatric Orthopaedics B 2012; 21:404–6.
- Nar MK, Kau KE, Wu CH. Septic arthritis and acute osteomyelitis in early infancy. Clin Neonatol 1999;6:9-13.
- Offiah AC. Acute osteomyelitis, septic arthritis and discitis: differences between neonates and older children. Eur J Radiol 2006;60:221-32.
- Ercan T. Klinik Radyoloji, 2008:710-3.
- Zeynep Y, Ercan T. Çocuk Hastalıklarında Radyolojik Bulgular, 2002:220-222.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | ÇOCUK SAĞLIĞI VE HASTALIKLARI |
| Yazarlar | |
| Yayımlanma Tarihi | 16 Mart 2015 |
| Yayımlandığı Sayı | Yıl 2015 |