Neonatal osteomyelitis: A case series

Authors

  • Parveen Kumar Department of Paediatric Surgery, Chacha Nehru Bal Chikitsalaya, New Delhi, India
  • Ankur Bhardwaj Department of Paediatric Surgery, Chacha Nehru Bal Chikitsalaya, New Delhi, India
  • Anil Agarwal Department of Orthopedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India
  • Divyamedha Agarwal Department of Anaesthesia, Chacha Nehru Bal Chikitsalaya, New Delhi, India

DOI:

https://doi.org/10.47338/jns.v12.1231

Keywords:

Osteomyelitis, Septic arthritis, Neonate, Sepsis, Bones

Abstract

Background: Osteomyelitis in the neonatal age group is a rare entity. Its presentation and progression are quite different from osteomyelitis in adults, adolescents, and even children. Due to vague clinical features and the late appearance of changes on X-rays, the diagnosis often gets missed. Additionally, there is a risk of permanent damage to bones and joints.

Case Presentation: Our experience of 3 such interesting cases showed the diagnostic dilemma involved in neonatal osteomyelitis. All 3 cases presented as cellulitis or subcutaneous abscess initially as x-ray changes appeared late (7-10 days after onset of disease). All the babies needed surgical debridement. The average duration of antibiotics given was 35.5 days. No residual sequelae were reported for up to 2 years.

Conclusion: Neonatal osteomyelitis needs a high index of suspicion especially in late-onset neonatal sepsis or prolonged septicemia. This case series emphasizes the need for a low threshold for suspicion and early treatment to avoid permanent disability.

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Published

2023-07-26

How to Cite

1.
Kumar P, Bhardwaj A, Agarwal A, Agarwal D. Neonatal osteomyelitis: A case series. J Neonatal Surg [Internet]. 2023Jul.26 [cited 2024Jul.22];12:22. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1231

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