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Rapid Decompensation to Systemic Inflammatory Response Syndrome in Children with Osteomyelitis

A Report of Three Cases

Minkowitz, Barbara, MD1,a; Ristic, Jennifer R., PA-C, MMSc1; Murphy, Lauren, BA1; Pierce, Todd, MD2; Baorto, Elizabeth, MD3

doi: 10.2106/JBJS.CC.17.00151
Case Reports

Case: We present 3 pediatric cases of osteomyelitis with delayed diagnosis, which resulted in systemic inflammatory response syndrome (SIRS) and complicated hospital stays.

Conclusion: These 3 cases illustrate that early treatment of osteomyelitis is imperative in order to avoid fatal complications, which can occur with SIRS. Subtle signs and symptoms should not be dismissed. Patients with fever, pain, and no history of trauma should be scrutinized.

1Morristown Medical Center, Morristown, New Jersey

2Saint Joseph’s Medical Center, Paterson, New Jersey

3Grand Rounds Inc., San Francisco, California

aE-mail address for B. Minkowitz:

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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