Abstract

DE LA HOZ, Julia Alonso et al. Anaerobio osteomyelitis. A rare condition in children. Rev.Colomb.Reumatol. [online]. 2021, vol.28, n.4, pp.309-311.  Epub Dec 01, 2022. ISSN 0121-8123.

Osteoarticular infections due to anaerobes are very rare in children, with the Fusobacterium genus being the most frequently isolated. The course is usually subacute and, although there are predisposing factors described, most patients do not present with them. Generally, joint fluid cultures are sterile since these microorganisms are very sensitive to contact with oxygen, so they require specific culture media. All of the above causes the diagnosis to be delayed, increasing the risk of long-term sequelae. However, the prognosis improves when treatment is started early. The case is presented of a 10-year-old patient who was admitted for 30 days due septic arthritis of the right hip caused by Fusobacterium nucleatum During the admission, he required three surgical interventions, and completed 6 weeks of effective antibiotic therapy, with a good outcome and remaining asymptomatic at the current time.

Keywords : Osteomyelitis; Anaerobes; Fusobacterium; Children; Immunocompetent.

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