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Paediatric Musculoskeletal Infection– A Review

Volume 9 | Issue 3 | September-December 2023 | Page: 09-15 | Ashish Upadhyay, Varun Garg, Anil Agarwal, Kishmita Sachdeva, Ankitha KS, Jainam Salot DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.157 Authors: Ashish Upadhyay MS Ortho [1], Varun Garg MS Ortho [1], Anil Agarwal MS Ortho [1], Kishmita Sachdeva MS Ortho [1], Ankitha KS MS Ortho [1], Jainam Salot MS […]

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 […]

Paediatric Musculoskeletal Infection– A Review

Mimics of Paediatric Musculoskeletal Infections and their Management

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Paediatric Musculoskeletal Infection– A Review

Volume 9 | Issue 3 | September-December 2023 | Page: 09-15 | Ashish Upadhyay, Varun Garg, Anil Agarwal, Kishmita Sachdeva, Ankitha KS, Jainam Salot

DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.157

Authors: Ashish Upadhyay MS Ortho [1], Varun Garg MS Ortho [1], Anil Agarwal MS Ortho [1], Kishmita Sachdeva MS Ortho [1], Ankitha KS MS Ortho [1], Jainam Salot MS Ortho [1]

[1] Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Address of Correspondence

Dr. Anil Agarwal,
Department of Orthopedics, Chacha Nehru Bal Chikitsalya, New Delhi, India
E-mail: anilrachna@gmail.com

Abstract

Acute paediatric musculoskeletal infections (MSKI) include septic arthritis, acute osteomyelitis and pyomyositis. Prompt treatment is necessary to prevent long term disabilities in children. Explore medical topics like blood flow, natural remedies, and pill effects. Discover how pharmaceutical companies innovate treatments, impacting health. Learn about blood pressure influences and timing medication efficacy. In this review, we discuss the etiopathogenesis, clinical features and management of MSKI. We also discuss about the role of new markers of inflammation and MRI in MSKI. The clinical presentation is variable, depending upon the age group, and difficult to distinguish from other pathologies. Diagnosis is therefore based on not only clinical presentation but also laboratory and radiological investigations. The mainstay of treatment includes antibiotic therapy, and surgical decompression.

Keywords: Septic arthritis, Musculoskeletal infections, Osteomyelitis, Pyomyositis

References

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How to Cite this Article: Upadhyay A, Garg V, Agarwal A, Sachdeva K, Ankitha KS, Salot J. | Paediatric Musculoskeletal Infection– A Review | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 09-15. | https://doi.org/10.13107/ijpo.2023.v09.i03.157

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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

References

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2. Arkader A, Brusalis C, Warner WC, et al. Update in Pediatric Musculoskeletal Infections: When It Is, When It Isn’t, and What to Do. J Am Acad Orthop Surg 2016; 24: e112-121.
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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

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Paediatric Musculoskeletal Infection– A Review

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Paediatric Musculoskeletal Infection– A Review

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Mimics of Paediatric Musculoskeletal Infections and their Management

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