Acute osteomyelitis and septic arthritis of the shoulder in premature neonates--report of two cases.
2012
Acute hematogenous osteomyelitis and septic arthritis are pyogenic infections
of bone and joint, respectively. At the youngest age, they usually occur at
the same time - hence the common name ”osteoarthritis”. When it comes to
neonates, osteoarthritis is an infrequent finding, but it can give a
permanent disability and can be even fatal unless early recognized and
adequately and promptly treated. An early diagnosis is rather challenging
because the signs and symptoms of this disease are subtle and/or nonspecific.
The therapy involves a combination of intravenous antimicrobial therapy in
high doses and of sufficient duration, with a mandatory decompression of
affected joint by needle aspiration or artrhrotomy. The aim of this paper is
to present two premature newborns with rare localization of osteoarthritis -
the humerus and shoulder joint, as well as to point to the modern diagnostic
and therapeutic approach to this disease.
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