Atypical mycobacterial granulomatous epiphyseal osteomyelitis in an immunocompetent child
- Resource Type
- Authors
- Eli Ezra; Josephine Issakov; Shlomo Hayek; Moshe Yaniv; Shlomo Wientroub
- Source
- Journal of Pediatric Orthopaedics B. 12:151-154
- Subject
- DNA, Bacterial
Pathology
medicine.medical_specialty
Knee Joint
Antitubercular Agents
Mycobacterium Infections, Nontuberculous
Polymerase Chain Reaction
Risk Assessment
law.invention
law
medicine
Humans
Orthopedics and Sports Medicine
Child
Pathogen
Polymerase chain reaction
Pain Measurement
business.industry
Osteomyelitis
Nontuberculous Mycobacteria
Recovery of Function
medicine.disease
Combined Modality Therapy
Magnetic Resonance Imaging
Treatment Outcome
Debridement
Femoral epiphysis
Pediatrics, Perinatology and Child Health
Female
Tomography, X-Ray Computed
business
Epiphyses
Follow-Up Studies
- Language
- ISSN
- 1060-152X
Osteomyelitis caused by atypical mycobacteria is rare in children. The majority of affected patients have had some kind of predisposing factor, namely a penetrating injury or surgery, or were immune-compromised. Our experience shows that this diagnosis should be considered in apparently healthy children as well. The use of polymerase chain reaction has now made it possible to identify the pathogen in cases that were previously diagnosed as granulomatous osteomyelitis. We present a case of atypical mycobacterial osteomyelitis affecting the distal femoral epiphysis in an immunocompetent 10-year-old child. The diagnosis in this case was made by the use of the polymerase chain reaction assay.