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Septic Arthritis and Deep Vein Thrombosis


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1 Dept of Medicine, Seth G S Medical College & KEM Hosptital, Parel, Mumbai-400012, India
     

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Acute osteoarticular infections are common in children and rarely complicated with deep vein thrombosis (DVT). This complication can cause significant morbidity and may even be fatal. Herein we report a fourteen year boy presenting with left knee pain and fever since 1 week with acute onset shortness of breath on day of admission. A left lower extremity venous doppler showed deep vein thrombosis of left popliteal vein. MRI knee suggestive of osteomyelitis of left tibia. High-Resolution Computed Tomography showed multiple patchy areas of consolidation with cavitations suggestive of septic emboli. He required prolonged hospital admission and was managed with surgical debridement, antibiotics and anticoagulation.
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  • Nelson Textbook of Pediatrics, Volumes 1; Chapter 479; page no 2394 By Robert M. Kliegman, Bonita F. Stanton, Joseph St. Geme, Nina Felice Schor, Richard E. Behrman.
  • Review of Orthopaedic By Mark D. Miller, Stephen R. Thompson, Jennifer A. Hart; page no 283.
  • K.L. Vander Have, B. Karmazyn, M. Verma, M.S. Caird, R.N. Hensinger, F.A. Farley, et al. Community-associated methicillin-resistant Staphylococcus aureus in acute musculoskeletal infection in children: a game changer J Pediatr Orthop, 29 (2009), pp. 927–931.
  • A. Gorenstein, E. Gross, S. Houri, et al. The pivotal role of deep vein thrombophlebitis in the development of acute disseminated staphylococcal disease in children. Pediatrics 2000;106:e87.
  • A. Gite, R. Trivedi, U.S. Ali. Deep vein thrombosis associated with osteomyelitis. IndPediatr 2008;45:418-9.
  • G. Martinez-Aguilar, A. Avalos-Mishaan, K. Hulten, et al. Community-acquired, methicillinresistant and methicillinsusceptible Staphylococcus aureus musculoskeletal infections in children. Pediatr Infect Dis J 2004;23:701-6.
  • Bocchini CE, Hulten KG, Mason EO, Jr., Gonzalez BE, Hammerman WA & Kaplan SL (2006) PantonValentine leukocidin genes are associated with enhanced inflammatory response and local disease in acute hematogenous Staphylococcus aureus osteomyelitis in children. Pediatrics 117(2): 433-40.
  • C.D. Newgard, S.H. Inkelis, R. Mink Septic thromboembolism from unrecognized deep venous thrombosis in a child Pediatric Emerg Care, 18 (2002), pp. 192–196.
  • A.H. Felman, S.T. Shulman Staphylococcal osteomyelitis, sepsis, and pulmonary disease. Observations of 10 patients with combined osseous and pulmonary infections Radiology, 117 (1975), pp. 649–655.
  • Deep venous thrombosis in children with musculoskeletal infections: the clinical evidence. Mantadakis E, Plessa E, Vouloumanou EK, Michailidis L, Chatzimichael A, Falagas ME.Int J Infect Dis. 2012 Apr; 16(4):e236-43. Epub 2012 Feb 22.

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  • Septic Arthritis and Deep Vein Thrombosis

Abstract Views: 239  |  PDF Views: 2

Authors

A. Rajadhyaksha
Dept of Medicine, Seth G S Medical College & KEM Hosptital, Parel, Mumbai-400012, India
N. Sarate
Dept of Medicine, Seth G S Medical College & KEM Hosptital, Parel, Mumbai-400012, India
P. Kharapkar
Dept of Medicine, Seth G S Medical College & KEM Hosptital, Parel, Mumbai-400012, India

Abstract


Acute osteoarticular infections are common in children and rarely complicated with deep vein thrombosis (DVT). This complication can cause significant morbidity and may even be fatal. Herein we report a fourteen year boy presenting with left knee pain and fever since 1 week with acute onset shortness of breath on day of admission. A left lower extremity venous doppler showed deep vein thrombosis of left popliteal vein. MRI knee suggestive of osteomyelitis of left tibia. High-Resolution Computed Tomography showed multiple patchy areas of consolidation with cavitations suggestive of septic emboli. He required prolonged hospital admission and was managed with surgical debridement, antibiotics and anticoagulation.

References