chronic osteomyelitis of clavicle in a neonate: report of morbid complication of adjoining mrsa abscess

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ID: 238749
2016
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Abstract
Osteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of residual adjoining abscess due to methicillin resistant staphylococcus aureus (MRSA) sepsis. We report a newborn female with right shoulder abscess that developed chronic clavicular osteomyelitis in follow-up period after drainage. She required multiple drainage procedures and was later successfully managed with bone curettage and debridement. We report this case to highlight that a MRSA abscess may recur due to residual infection from a chronic osteomyelitis sinus. It may be misdiagnosed as hypergranulation tissue of nonhealing wound leading to inappropriate delay in treatment. High index of suspicion, aggressive initial management, and regular follow-up are imperative to prevent this morbid complication.
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suranigi2016casechronic Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Shishir Murugharaj Suranigi, Manoj Joshi, Pascal Noel Deniese, Kanagasabai Rangasamy, Syed Najimudeen, James J. Gnanadoss
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Journal jurnal perikanan universitas gadjah mada
Year 2016
DOI
10.1155/2016/3032518
URL
http://dx.doi.org/10.1155/2016/3032518
Keywords
Pediatrics

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