PMID: 9529643Apr 8, 1998Paper

Childhood osteomyelitis and septic arthritis

Current Opinion in Pediatrics
E J Wall

Abstract

The diagnosis, treatment, and monitoring of septic arthritis or osteomyelitis in children has become more streamlined in recent years. C-reactive protein appears to be a better laboratory study than sedimentation rate in the diagnosis of bone or joint infection and in monitoring a patient's clinical response to antibiotics. Oral antibiotics may be rapidly substituted for intravenous antibiotics in patients who have a identifiable sensitive organism, who show rapid clinical improvement, and who show rapid normalization of C-reactive protein. The physician must remain alert for resistant organisms, highly virulent organisms (post-varicella streptococcal infections) and rare organisms.

Citations

Jun 3, 2006·International Orthopaedics·Christopher B D Lavy
Apr 23, 2009·International Journal of Emergency Medicine·Amy A LePageRaquel M Schears
Jul 2, 2009·Journal of Pediatric Orthopedics·Nikolas Alan JagodzinskiChristopher Edward Bache
Jul 23, 2011·Acta Haematologica·Oula Abdullah Najim, Mea'ad Kadhum Hassan
Sep 25, 2008·Pediatric Rheumatology Online Journal·Avinash K Shetty, Abraham Gedalia
Dec 23, 2004·Paediatric Drugs·Andrew C Steer, Jonathan R Carapetis
Jun 19, 2012·Musculoskeletal Surgery·David Gallach SanchisPlácido Jiménez Ortega
Mar 28, 2001·The American Journal of the Medical Sciences·A Iglesias-GamarraL R Espinoza
Nov 22, 2005·Infectious Disease Clinics of North America·John J Ross
Apr 3, 2003·Clinical Orthopaedics and Related Research·Armond G KhachatouriansPaul D Holtom
Feb 1, 2000·The Physician and Sportsmedicine·S A Paluska, D B McKeag
Apr 30, 2015·Journal of Orthopaedic Surgery·Simon B M MacLeanEdward Bache

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