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Subacute Osteomyelitis of the Fibula due to Corynebacterium striatum in an Immunocompetent Child

A Case Report

Bayram, Serkan MD1; Bilgili, Fuat1; Anarat, Fikret Berkan MD1; Saka, Esra MD2

doi: 10.2106/JBJS.CC.18.00220
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Disclosures

Case: A 4-year-old boy presented with a history of swelling and pain in his ankle for 1 month. X-ray showed a periosteal reaction, and magnetic resonance imaging (MRI) favored radiodense signs in a T2-weighted image. An open biopsy was performed, and cultures grew Corynebacterium spp. Further research showed that the pathogen was Corynebacterium striatum subtype. Vancomycin and cefazolin were given for 6 weeks. Clinical, X-ray, and MRI signs indicated improvement, and there were no complications with 2-year follow-up.

Conclusions: C. striatum is an unexpected pathogen for subacute osteomyelitis in children. As far as we know, this is the first case report of subacute osteomyelitis in a child with a normal immune system caused by C. striatum.

1Department of Orthopaedics and Traumatology, Istanbul University Faculty of Medicine, Istanbul, Turkey

2Department of Anaesthesiology, Istanbul University Faculty of Medicine, Istanbul, Turkey

E-mail address for S. Bayram: dr.serkanbayram89@gmail.com

Investigation performed at Istanbul University Faculty of Medicine Department of Orthopaedics and Traumatology

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A793).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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