Ahmed MMH, Riaz S, Jamil M, Ashraf I, Khalid N, Adil ML. Septic arthritis, osteomyelitis, and cellulitis in a neonate: A case report and discussion of diagnosis and management.
Int J Surg Case Rep 2024;
114:109117. [PMID:
38141509 PMCID:
PMC10800716 DOI:
10.1016/j.ijscr.2023.109117]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Revised: 11/20/2023] [Accepted: 12/01/2023] [Indexed: 12/25/2023] Open
Abstract
INTRODUCTION
Septic arthritis, osteomyelitis, and cellulitis are rare but life-threatening conditions in neonates. This case report emphasizes the significance of early diagnosis and intervention in such cases.
PRESENTATION OF CASE
We present a case of a male neonate, who developed septic arthritis, osteomyelitis, and cellulitis following trauma from a fall. The patient presented with fever, swelling, and limited joint movement. Diagnosis was based on clinical evaluation, laboratory investigations, and imaging studies. Treatment involved intravenous antibiotics for three weeks, followed by oral antibiotics for two weeks, resulting in complete recovery.
DISCUSSION
Neonatal septic arthritis and osteomyelitis are challenging to diagnose due to nonspecific symptoms. Early initiation of antibiotics is crucial to prevent long-term complications. Surgical intervention may be required in cases of inadequate antibiotic response or significant joint effusion. This case underscores the importance of prompt recognition and tailored management.
CONCLUSION
Septic arthritis, osteomyelitis, and cellulitis pose serious threats to neonates. Timely diagnosis, appropriate antibiotics, and, if needed, surgical intervention are vital for favorable outcomes. Individualized treatment plans should consider clinical condition and local protocols.
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