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Contiguous Osteomyelitis of Distal Extremities in Children

Authors
  • Nandavar, Akshay Vivek1
  • Toledano, Talya1
  • Marino, Catalina1
  • Khanna, Shefali1
  • Sitnitskaya, Yekaterina1
  • 1 Lincoln Medical and Mental Health Center, Bronx, NY, USA
Type
Published Article
Journal
Global Pediatric Health
Publisher
SAGE Publications
Publication Date
Feb 06, 2021
Volume
8
Identifiers
DOI: 10.1177/2333794X21991533
PMID: 33614854
PMCID: PMC7868491
Source
PubMed Central
Keywords
Disciplines
  • Infectious Diseases
  • Original Research Article
License
Unknown

Abstract

Objective . To evaluate the burden of Contiguous Osteomyelitis (COM) in pediatric patients with cellulitis/abscess of hands/feet. Methods . Children aged 0-18 years, treated from 2009 to 2019 for cellulitis/abscess of hands/feet, who either had Magnetic Resonance Imaging at presentation, or Roentgenogram >10 days after symptom-onset, were included. Two-tailed T-test was used to compare patients with and without COM. P -value < .05 deemed statistically significant. Results . Twenty of forty-one patients with abscess/cellulitis of distal extremities were diagnosed with COM. Between groups, no differences identified in trauma-to-presentation time, antibiotic treatment for >48 hours before admission, abscess versus cellulitis, location of infection, presence of fever, or signs of infection. Conclusion . In our cohort, clinical presentation did not differentiate COM. Imaging helped diagnose patients with COM, who would otherwise receive a shorter antibiotic course. Hands/feet imaging in pediatric patients hospitalized with cellulitis/abscess should be considered to identify COM and customize treatment. Further research is warranted.

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