Advertisement

European Journal of Pediatrics

, 168:1529 | Cite as

Acute osteomyelitis of the iliac bone presenting with gluteal syndrome in a newborn

  • Ali BulbulEmail author
  • Fusun Okan
  • Ensar Yekeler
  • Emrah Can
Short Report

Abstract

Acute osteomyelitis in neonates, although rare, represents a diagnostic and therapeutic challenge. We herein report an extremely rare case of congenital nonsyphilitic iliac bone osteomyelitis caused by methicilline-sensitive Staphylococcus aureus and presenting with gluteal syndrome in a near-term infant. To our knowledge, this represents the second report with iliac osteomyelitis and the first report with gluteal syndrome in neonatal period. A high index of suspicion is necessary to make an early diagnosis. Early diagnosis is essential to prevent catastrophic sequelae in such cases. We report this case because of its unusual clinical presentation and rarity.

Keywords

Neonate Osteomyelitis Iliac bone Gluteal syndrome 

Notes

Conflict of interest

The authors have indicated that they have no conflict of interest and financial relationships relevant to this article to disclose.

References

  1. 1.
    Abril Martin JC, Aguilar Rodriguez L, Albiñana Cilveti J (1999) Flatfoot and calcaneal deformity secondary to osteomyelitis after neonatal heel puncture. J Pediatr Orthop B 8:122–124CrossRefPubMedGoogle Scholar
  2. 2.
    Beaupré A, Carroll N (1979) The three syndromes of iliac osteomyelitis in children. J Bone Joint Surg Am 61:1087–1092PubMedGoogle Scholar
  3. 3.
    Caramia G, Ruffini E, Zaffanello M et al (2007) Acute bone and joint infections in children and therapeutic options. J Pediatr Infect Dis 2:193–203Google Scholar
  4. 4.
    Choma TJ, Davlin LB, Wagner JS (1994) Iliac osteomyelitis in the newborn presenting as nonspecific musculoskeletal sepsis. Orthopedics 17:632–634PubMedGoogle Scholar
  5. 5.
    Davidson D, Letts M, Khoshhal K (2003) Pelvic osteomyelitis in children: a comparison of decades from 1980–1989 with 1990–2001. J Pediatr Orthop 23:514–521 doi: 10.1097/00004694-200307000-00019 CrossRefPubMedGoogle Scholar
  6. 6.
    De Boeck H (2005) Osteomyelitis and septic arthritis in children. Acta Orthop Belg 71:505–515PubMedGoogle Scholar
  7. 7.
    Highland TR, LaMont RL (1983) Osteomyelitis of the pelvis in children. J Bone Joint Surg Am 65:230–234PubMedGoogle Scholar
  8. 8.
    Klein JD, Leach KA (2007) Pediatric pelvic osteomyelitis. Clin Pediatr (Phila) 46:787–790 doi: 10.1177/0009922807303810 CrossRefGoogle Scholar
  9. 9.
    Mellado Santos JM (2006) Diagnostic imaging of pediatric hematogenous osteomyelitis: lessons learned from a multi-modality approach. Eur Radiol 16:2109–2119 doi: 10.1007/s00330-006-0187-4 CrossRefPubMedGoogle Scholar
  10. 10.
    Miller LK, Miller JW (1987) Pelvic osteomyelitis complicating Crohn’s disease: diagnosis by computed tomography. Am J Gastroenterol 82:371–373PubMedGoogle Scholar
  11. 11.
    Zvulunov A, Gal N, Segev Z (2003) Acute hematogenous osteomyelitis of the pelvis in childhood: Diagnostic clues and pitfalls. Pediatr Emerg Care 19:29–31 doi: 10.1097/00006565-200302000-00008 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Ali Bulbul
    • 1
    Email author
  • Fusun Okan
    • 2
  • Ensar Yekeler
    • 2
  • Emrah Can
    • 1
  1. 1.Division of Neonatology, Department of PediatricsSisli Children HospitalIstanbulTurkey
  2. 2.Department of Radiology, Faculty of MedicineIstanbul University IstanbulIstanbulTurkey

Personalised recommendations