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Suppurative complications of acute hematogenous osteomyelitis in children

Johnston, Jennifer J.a; Murray-Krezan, Cristinab; Dehority, Walterc

Journal of Pediatric Orthopaedics B: November 2017 - Volume 26 - Issue 6 - p 491–496
doi: 10.1097/BPB.0000000000000437
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We carried out a case–control study in children with acute hematogenous osteomyelitis (AHO) with and without suppurative complications discharged from our institution over an 11-year period to test the hypothesis that abscess formation was associated with a delayed presentation to care. Of 102 children with AHO, 54 abscesses were documented in 46 patients (25 bone, 29 muscle). A delay in presentation was not associated with abscess formation (6.5 vs. 5.0 days, P=0.26). Overall, 78% of all bone abscesses were visible on initial MRI. Consistent use of MRI at presentation may identify children with suppurative complications of AHO.

aUniversity of New Mexico School of Medicine

bDepartment of Internal Medicine, Division of Epidemiology, Biostatistics, and Preventive Medicine

cDepartment of Pediatrics, Division of Infectious Disease, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA

Correspondence to Walter Dehority, MD, MSC, Department of Pediatrics, Division of Infectious Disease, University of New Mexico Health Sciences Center, MSC10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001, USA Tel: +1 505 272 6891; fax: +1 505 272 4549; e-mail: wdehority@salud.unm.edu

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