Recurrent osteitis and Coxiella burnetii: the relation to chronic recurrent multifocal osteomyelitis

Chronic recurrent multifocal osteomyelitis (CRMO) is a disorder of suspected--but unproved-infectious etiology. A girl presented with a typical CRMO involving successively the left fibula, radius, humerus and the right carpus. A Coxiella burnetii infection was indicated during the first attack. Two...

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Published inArchives de pédiatrie : organe officiel de la Société française de pédiatrie Vol. 5; no. 3; pp. 291 - 294
Main Authors Poujol, A, Toesca, S, Di Marco, J N, Rimet, Y, Tissot Dupont, H, Macé, L, Sudan, N, Panuel, M, Turcat, Y, Kelberine, F, Brusquet, Y
Format Journal Article
LanguageFrench
Published France 01.03.1998
Subjects
Anti-Bacterial Agents - therapeutic use
Carpal Bones - microbiology
Child, Preschool
Chronic Disease
Coxiella burnetii - classification
Female
Fibula - microbiology
Humans
Humerus - microbiology
Osteitis - microbiology
Osteomyelitis - microbiology
Q Fever
Radius - microbiology
Recurrence
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Summary:Chronic recurrent multifocal osteomyelitis (CRMO) is a disorder of suspected--but unproved-infectious etiology. A girl presented with a typical CRMO involving successively the left fibula, radius, humerus and the right carpus. A Coxiella burnetii infection was indicated during the first attack. Two recurrences occurred in spite of suitable antibiotic treatment and with negative infectious investigation. Two months after stopping antibiotic treatment, a new recurrence associated with antibodies increase and positive bone culture occurred. Coxiella burnetii can initiate a CRMO. The mechanism involved is probably a delayed hypersensitivity. CRMO would therefore be the first type of reactive osteitis.
Bibliography:ObjectType-Article-2
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ISSN:0929-693X