A rare complication in a child with sickle cell anemia: Clavicular osteomyelitis Orak hücreli anemili bir çocukta nadir bir komplikasyon: Klaviküler osteomiyelit


Kara T. T., Köker S. A., Tuncer G. Ö., Akbaş Y., Çoban Y., KÖKER A., ...More

Cocuk Enfeksiyon Dergisi, vol.14, no.1, 2020 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 1
  • Publication Date: 2020
  • Doi Number: 10.5578/ced202006
  • Journal Name: Cocuk Enfeksiyon Dergisi
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
  • Keywords: Children, Clavicle, Osteomyelitis, Sickle cell anemia
  • Akdeniz University Affiliated: Yes

Abstract

Sickle cell anemia (SCA) is a hematologic disease that can cause severe infectious complications like osteomyelitis. Osteomyelitis commonly affects the long bones in children. However, atypical localizations have also been rarely reported. Herein, we aimed to present a pediatric patient with SCA, who was diagnosed as clavicular osteomyelitis. Our patient was admitted with painful and restricted movement of the right arm and shoulder. Physical examination revealed swelling, tenderness, erythema and localized temperature rise on the right clavicle. The patient received intravenous antibiotic treatment with a diagnosis of os-teomyelitis. The patient, whose clinical and laboratory findings resolved, was discharged with oral treatment. On follow-up, there was no com-plication. Osteomyelitis is an infection that may cause serious complications in children with SCA. It is necessary to be kept in mind for differ-ential diagnosis of the clinically suspected cases. It is possible to obtain full recovery with early diagnosis and appropriate duration and dose of antimicrobial treatment without surgery.