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Acute primary hematogenous osteomyelitis of the epiphysis: report of two cases. 2003

Feng-Chen Kao, and Zhon-Liau Lee, and Hui-Chih Kao, and Shuo-Suei Hung, and Yhu-Chering Huang
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Keelung.

Acute primary infection of the epiphysis is uncommon. We present 2 cases of acute osteomyelitis of the distal femoral epiphysis. They were not diagnosed until 10 days and 3 weeks, respectively, after the onset of symptoms. The epiphyseal infection spread into the knee joint, and surgical debridement was performed. The majority of reported cases in the medical literature are of bacterial etiology, and the most common pathogen is Staphylococcus aureus. We report a rare case which was infected by Salmonella enteritidis. Prompt diagnosis and early treatment are required to prevent further destruction and growth disturbance.

UI MeSH Term Description Entries
D008297 Male Males
D010019 Osteomyelitis INFLAMMATION of the bone as a result of infection. It may be caused by a variety of infectious agents, especially pyogenic (PUS - producing) BACTERIA. Osteomyelitides
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D004838 Epiphyses The head of a long bone that is separated from the shaft by the epiphyseal plate until bone growth stops. At that time, the plate disappears and the head and shaft are united. Epiphysis
D005260 Female Females
D005269 Femur The longest and largest bone of the skeleton, it is situated between the hip and the knee. Trochanter,Greater Trochanter,Lesser Trochanter,Femurs,Greater Trochanters,Lesser Trochanters,Trochanter, Greater,Trochanter, Lesser,Trochanters,Trochanters, Greater,Trochanters, Lesser
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute
D012477 Salmonella enteritidis A serotype of Salmonella enterica which is an etiologic agent of gastroenteritis in man and other animals. Salmonella enterica serovar enteritidis
D012480 Salmonella Infections Infections with bacteria of the genus SALMONELLA. Salmonellosis,Infections, Salmonella,Infection, Salmonella,Salmonella Infection,Salmonelloses

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