Staphylococcus aureus costal osteomyelitis with complicated by pleural effusion in a 7-month-old infant: A misleading clinical presentation

Osteomyelitis is a rare infectious disease in children, predominantly affecting long bones; however, its clinical presentation can be ambiguous if the location is atypical. Costal osteomyelitis is very rare in children and can mimic other pathologies. We present a case of a seven-month-old infant di...

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Published inRadiology case reports Vol. 19; no. 6; pp. 2362 - 2366
Main Authors Lamiri, Rachida, Habachi, Ghada, Zayani, Seyfeddine, Salah, Radhouane Ben, Daya, Abir, Abdelaali, Mabrouk, Mekki, Mongi, Kechiche, Nahla, Sahnoun, Lassaad
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.06.2024
Elsevier
Subjects
Costal osteomyelitis
Infant
Radiologic diagnosis
Rib
Radiologic diagnosis
MSSA
Infant
Rib
Costal osteomyelitis
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Summary:Osteomyelitis is a rare infectious disease in children, predominantly affecting long bones; however, its clinical presentation can be ambiguous if the location is atypical. Costal osteomyelitis is very rare in children and can mimic other pathologies. We present a case of a seven-month-old infant diagnosed with costal osteomyelitis complicated by rupture of a subperiosteal abscess into the pleura. His clinical condition improved with conservative treatment, which included chest drain insertion and intravenous antibiotic therapy without the need for surgical debridement. Rib osteomyelitis represents a potentially severe condition. Early detection is imperative to prevent the necessity for invasive therapies and mitigate long-term complications.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.02.097