Espinosa HE

Language: Spanish
References: 14
Page: 303-307
PDF size: 205.90 Kb.

ABSTRACT

The initial symptoms of osteomyelitis can be nonspecific in children of all ages. Once the infection becomes established in bone, symptoms are more localized. Children with osteomyelitis usually present with fever, constitutional symptoms, focal findings of bone inflammation and limitation of function. Clinical features may vary with age in young infants (0 to three months of age) initial clinical features may be mild and nonspecific, In older infants and young children, clinical features may include limp; refusal to crawl, walk, sit, or bear weight; irritability when picked up; point tenderness over the infected bone; and contiguous edema. In older children and adolescents, clinical features may include complaints of localized pain and focal examination findings, in patients with osteomyelitis of the vertebral bodies usually are older than eight years and complain of dull, constant back pain. Examination findings may include tenderness with percussion of the spinal dorsal process, spasm of the paraspinous muscles around the involved vertebrae, and pain with flexion or extension of the spine. Children with pelvic osteomyelitis may complain of hip pain or gait abnormality, but also may localize pain to the thigh, abdomen, lumbar spine, or buttocks. Radiographic features of osteomyelitis depend upon the imaging modality

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