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Research Article Open access CC BY 4.0

Pneumococcal Osteomyelitis in Children: A Case Report

Rihem Ben Marzouk, Hanen Smaoui, Mehdi Trifa, Sami Bouchoucha, Wiem Douira, Mohamed Nebil Nessib, Amel Kechrid

International Journal of Medical and Pharmaceutical Case Reports · pp. 68–72 · Published 23 Feb 2015

10.9734/IJMPCR/2015/14495

Abstract

We describe a case of osteomyelitis, in a 7-month-old boy, caused by S. pneumoniae involving the pelvic bone with a purulent collection in the adductor muscle. Osteomyelitis diagnosis was suspected using ultrasound and CT scan investigations. This showed a periosteal elevation in the pelvis and an abscess of the adductor muscle. Culture of the perioperative specimens isolated serotype 19A S. pneumoniae with reduced susceptibility to penicillin and macrolides. The patient was treated successfully with amoxicillin-clavulanate during five weeks, associated with gentamicin during the first week.

Osteomyelitis Streptococcus pneumoniae children serotype antimicrobial therapy North Africa.

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