Mimics of Paediatric Musculoskeletal Infections and their Management
Volume 9 | Issue 3 | September-December 2023 | Page: 16-21 | Vivek Singh, Cury Sharma, Aditya K S, Danish Vayoli, Sitanshu Barik
DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.158
Authors: Vivek Singh MS Ortho [1], Cury Sharma MS Ortho [1], Aditya K S MS Ortho [1], Danish Vayoli MS Ortho [1], Sitanshu Barik MS Ortho [2]
[1] Department of Orthopedics, Paediatric Orthopaedic Unit, AIIMS, Rishikesh, Uttarakhand, India,
[2] Department of Orthopedics, Paediatric Orthopaedic Unit, AIIMS, Nagpur, Maharashtra, India.
Address of Correspondence
Dr. Vivek Singh,
Additional Professor, In-charge Paediatric Orthopaedics, Shoulder & Hand Surgery Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
E-mail: singhvr27@gmail.com
Abstract
Musculoskeletal infections in pediatric and adolescent populations pose challenges due to heightened pathogen virulence and emerging antimicrobial resistance. Prompt diagnosis is hindered by conditions mimicking these infections, necessitating multidisciplinary approaches. Recent advancements in diagnostics facilitate accurate differentiation. Common mimickers include cellulitis, neoplasms, hematological disorders, inflammatory conditions and stress fractures. Overlapping symptoms demand thorough history-taking and clinical assessment. Laboratory investigations, including CRP and procalcitonin, aid diagnosis, alongside imaging modalities like MRI. Management involves collaborative efforts, emphasizing early recognition, antibiotic therapy, and surgical intervention as needed. Adherence to guidelines and vigilant monitoring optimize outcomes and mitigate risks. This article describes the common mimickers of MSK infection in children and the approach to reaching a correct diagnosis by thorough history taking, clinical examination, relevant laboratory investigations, and appropriate radiological investigations.
Keywords: Infection mimickers, Pediatric infections, MSKI, Blood markers, Multidisciplinary approach
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| How to Cite this Article: Singh V, Sharma C, Aditya KS, Vayoli D, Barik S. | Mimics of Paediatric Musculoskeletal Infections and their Management | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 16-21. | https://doi.org/10.13107/ijpo.2023.v09.i03.158 |
