التفاصيل البيبلوغرافية
العنوان: |
Subacute metacarpal osteomyelitis in a child. |
Alternate Title: |
Subakutni metakarpalni osteomijelitis u djeteta. (English) |
المؤلفون: |
Kaziz, Hamdi, Mouelhi, Thabet, Osman, Walid, Triki, Mohamed Amine, Naouar, Nader, Ben Ayeche, Mohamed Laziz |
المصدر: |
Paediatria Croatica; 2016, Vol. 60 Issue 1, p31-35, 5p |
مصطلحات موضوعية: |
BONE diseases, JUVENILE diseases, BONE tumors, RADIOLOGY |
Abstract (English): |
Subacute osteomyelitis is a rare aff ection. Clinical presentation is often unclear and can lead to delay in diagnosis. As a matter of fact, subacute metacarpal osteomyelitis is usually missed at fi rst, so that some complications may occur, e.g., brachymetacarpia or loss of motion. We report on a 10-year-old boy with subacute metaphyseal osteomyelitis of the second right metacarpal bone. Radiological features can mimic various benign or malignant bone tumors and non-pyogenic infections. Histologic confirmation is necessary to avoid delay in diagnosis. Treatment was based on antibiotics and surgical debridement. No infectious agent was found on bacteriologic testing. At 1-year follow up, no complications were reported and the fi nger showed normal range of motion. X-ray views showed bone reconstruction with fi brosis of the ulnar part of the metaphysis, without length discrepancy. [ABSTRACT FROM AUTHOR] |
Abstract (Croatian): |
Subakutni osteomijelitis je rijetka bolest. Kliničke manifestacije su često nejasne i mogu odužiti postavljanje dijagnoze. Zapravo, subakutni metakarpalni osteomijelitis obično se isprva ne prepoznaje pa može doći do komplikacija kao što je brahimetakarpija ili gubitak pokreta. Opisuje se slučaj 10-godišnjeg dječaka sa subakutnim metafi zealnim osteomijelitisom druge desne metakarpalne kosti. Radiološke značajke mogu oponašati razne dobroćudne ili zloćudne koštane tumore i ne-piogene infekcije. Neophodna je histološka potvrda kako bi se izbjeglo kašnjenje dijagnoze. Liječenje je provedeno antibioticima i kirurškim debridemanom. Nikakav infektivni uzročnik nije otkriven bakteriološkim pretragama. Na kontrolnom pregledu nakon jedne godine nisu zabilježene nikakve komplikacije, uz normalnu pokretljivost prsta. Rendgenske snimke pokazale su rekonstrukciju kosti s fi brozom ulnarnog dijela metafi ze bez nesrazmjera u duljini. [ABSTRACT FROM AUTHOR] |
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قاعدة البيانات: |
Complementary Index |