A Rare Case of Clavicle Osteomyelitis in a Child and Literature Review

Elisavet-Anna Chrysochoou
Charalampos Antachopoulos
Konstantinos Badekas
Emmanuel Roilides

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Publication date

January 2016

DOI

10.1155/2016/8252318

Publisher

Hindawi Limited

ISSN

2090-6803

Journal

issn:2090-6803

Abstract

Acute clavicle osteomyelitis in children is rare representing <3% of osteomyelitis cases. We treated a 12-year-old boy who presented with acute pain in the right clavicle and high fever for 4 days. MRI showed abnormal signal in the right clavicle with periosteal reaction. Staphylococcus aureus isolated from blood was susceptible to methicillin, clindamycin, and macrolides. Clindamycin was given intravenously for 3 wks and orally for another 3 wks with no recurrence. We reviewed clavicle osteomyelitis cases in children searching PubMed English literature. From a total of 89 studies retrieved, only 6 fulfilled the criteria and were analyzed. Sixteen patients (56% female) were included with a median age of 9 yrs (range 2 wks–16 yrs). Osteomyel...