Doğan ATLIHAN, Serkan İLTAR, Tamer SAZAK, Nazım KARALEZLİ

Naviküler osteomyelit (olgu sunumu)

Sağ ayak travması sonrası ayak dorsalinde ağrı, şişlik ve ısı artışı şikayetleriyle görülen beş yaşındaki kız çocuğunda navikuler osteomyelit saptandı ve cerrahi tedavi uygulandı. İntraoperatif alınan materyalin kültüründe Staphylococcus aureus üredi ve geniş spektrumlu bir antibiyotikle tedavi sürdürüldü. Postoperatif takiplerde lokal veya sistemik herhangi bir patolojik bulguya rastlanmadı. Navikuler osteomyelit çocuklarda çok nadir görüldüğü için, olgu sunulmaya değer bulundu.

Anahtar Kelimeler:

Ayak yaralanmaları, Stafilokok enfeksiyonları, Tarsal kemikler, Tarsal eklem, Osteomiyelit, Kemik hastalıkları, enfeksiyöz, Çocuk, Ayak, Yaralar ve yaralanmalar, İlaç tedavisi, Antibiyotikler, Apse

A case of navicular osteomyelitis

A five-year-old girl presented with complaints of pain, swelling, and localized fever on the dorsal side of the right foot. A diagnosis of navicular osteomyelitis was made and she underwent surgery. Cultures obtained intraoperatively revealed Staphylococcus aureus and broad-spectrum antibiotic therapy was administered. Postoperative follow-up showed no local or systemic signs or symptoms. Because of its rarity during childhood, clinical findings of navicular osteomyelitis are presented, along with its treatment and outcome.

Keywords:

Foot Injuries, Staphylococcal Infections, Tarsal Bones, Tarsal Joint, Osteomyelitis, Bone Diseases, Infectious, Child, Foot, Wounds and Injuries, Drug Therapy, Antibiotics, Abscess,

PDF

___

1.Tachdjian MO. Pediatric orthopaedics. 2nd ed. Philadelphia: WB Saunders; 1990.
2. Antoniou D, Conner AN. Osteomyelitis of the calcaneus and talus. J Bone Joint Surg [Am] 1974;56:338-45.
3. Feigin RD, McAlister WH, Joaquin VH, Middelkamp JN. Osteomyelitis of the calcaneus. Report of eight cases. Am J Dis Child 1970;119:61-5.
4. Ackerman T, Reed MH. Osteomyelitis of the tarsal bones in children. Can Assoc Radiol J 1990;41:69-71.
5. Donovan RM, Shah KJ. Unusual sites of acute osteomyelitis in childhood. Clin Radiol 1982;33:222-30.
6. Lynch MC, Dorgan JC. A case of Pseudomonas aeruginosa osteomyelitis of the tarsal cuboid following a penetrating wound of the foot in childhood. Injury 1983;14:354-6.
7. Brand RA, Black H. Pseudomonas osteomyelitis following puncture wounds in children. J Bone Joint Surg [Am] 1974; 56:1637-42.
8. Lilien LD, Harris VJ, Ramamurthy RS, Pildes RS. Neonatal osteomyelitis of the calcaneus: complication of heel puncture. J Pediatr 1976;88:478-80.
9. Borris LC, Helleland H. Growth disturbance of the hind part of the foot following osteomyelitis of the calcaneus in the newborn. A report of two cases. J Bone Joint Surg [Am] 1986;68:302-5.