chronic osteomyelitis of clavicle in a neonate: report of morbid complication of adjoining mrsa abscess
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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.
| Reference Key |
suranigi2016casechronic
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|---|---|
| Authors | ;Shishir Murugharaj Suranigi;Manoj Joshi;Pascal Noel Deniese;Kanagasabai Rangasamy;Syed Najimudeen;James J. Gnanadoss |
| Journal | jurnal perikanan universitas gadjah mada |
| Year | 2016 |
| DOI |
10.1155/2016/3032518
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| URL | |
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