Akut osteomiyelitli bir yenidoğan olgusu

Giriş: Osteomiyelit ve septik artrit yenidoğan döneminde de görülebilen ve tedavisi zor olan enfeksiyonlardır. Yenidoğanda osteoartiküler enfeksiyonların prognozu kötü olup tanıdan şüphelenildiği anda acil tedavi gerektirir.Olgu: Vakamız 30+3/7 haftalık, ikiz eşi olarak sezeryan ile kız bebek olarak doğdu. Doğum ağırlığı 1635 gr idi. Postnatal 12. gününde bacak hareketleri sırasında hassasiyet tespit edildi. Radyolojik incelemesi normal olarak bulundu. Postnatal 20. gününde ateş, sol üst bacakta şişlik ve hareketlerde azalma saptandı. Düz grafide kemik harabiyeti tesbit edildi. Antibiyotik tedavisi başlanarak tedavisi 6 haftaya tamamlandı. Tedavi bitiminden sonra hastamız taburcu edildi.Sonuç: Bu olgumuzu, yenidoğan döneminde görülen osteoartiküler enfeksiyonların tanı ve tedavisiyle ilgili bilgi vermek için literatür eşliğinde sunduk.

Anahtar Kelimeler:

osteomiyelit, yenidoğan, görüntüleme

Acute osteomyelitis in a newborn: a case report

Introduction: Osteomyelitis and septic arthritis which can be seen in the neonatal period are infections that are difficult to treat. The prognosis of the osteoarticular infections in newborns are poor and requires immediate treatment as soon as the diagnosis is suspected.Case: Our case was a female infant and born as twins at 30+3/7 weeks of gestation by cesarean section. Her birthweight was 1635 gr. In the postnatal twelfth day, tenderness was recognized during her leg movements. Radiological imaging examinations were normal. In the postnatal twentieth day fever, swelling and decreased movements of the upper part of the left leg were detected. Radiography revealed bone destruction. Antibiotic therapy was started and treatment was continued for six weeks. After the end of therapy she was discharged from the hospital.Conclusion: We present our case to provide information about the diagnosis and treatment of the osteoarticular infections in the neonatal period according to the literature.

Keywords:

osteomiyelitis, newborn, imaging,

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