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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 […]

Sequelae of Paediatric Musculoskeletal Infections

Volume 9 | Issue 3 | September-December 2023 | Page: 22-27 | Prateek Behera, Vikas Gupta, Shubhangi Gupta DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.159 Authors: Prateek Behera MS Ortho [1], Vikas Gupta MS Ortho [2], Shubhangi Gupta MS Ortho [3] [1] Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh. [2] Department of Orthopaedics, Central Institute of Orthopaedics, VMMC and Safdarjung […]

Mimics of Paediatric Musculoskeletal Infections and their Management

Sequelae of Paediatric Musculoskeletal Infections

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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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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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Sequelae of Paediatric Musculoskeletal Infections

Volume 9 | Issue 3 | September-December 2023 | Page: 22-27 | Prateek Behera, Vikas Gupta, Shubhangi Gupta

DOI- https://doi.org/10.13107/ijpo.2023.v09.i03.159

Authors: Prateek Behera MS Ortho [1], Vikas Gupta MS Ortho [2], Shubhangi Gupta MS Ortho [3]

[1] Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh.
[2] Department of Orthopaedics, Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi
[3] University of North Dakota, USA

Address of Correspondence

Dr. Prateek Behera
Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh.
E-mail: pbehera15@outlook.com

Abstract

Musculoskeletal infections (MskI) are one of the leading causes of morbidity
in children. In neonates and infants, they can result in deaths, too, if timely
treatment is not initiated. Of the several factors contributing to the
development of sequelae, late presentation, delay in diagnosis, and failure in
initiation of appropriate treatment are considered important. Chronic
osteomyelitis is often a continuation of untreated or incompletely treated
osteomyelitis. The management of chronic osteomyelitis rests on the pillars of
extensive surgical debridement and appropriate antibiotic therapy. The
diseased bones might get fractured and need to be supported till union, which
invariably happens inappropriately treated patients. In young children,
osteomyelitis and septic arthritis tend to be frequently present concomitantly,
and the infection can result in the destruction of the epiphysis, too. These
children with damaged epiphysis have poor outcomes despite best of the
efforts to restore function. Physis can also be involved in MskI, resulting in
formation of physeal bar that can result in growth arrest. This bar can result in a shortened limb, angular deformity, or both. Management of these conditions
includes physeal bar excision wherever suitable or correction of angular
deformity by osteotomies. Length can be gained concomitantly using ring
external fixators.
Keywords: Musculoskeletal infections, Osteomyelitis, Sequelae, Growth
arrest, Physeal bar

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How to Cite this Article: Behera P, Gupta V, Gupta S | Sequelae of Paediatric Musculoskeletal Infections | International Journal of Paediatric Orthopaedics | September-December 2023; 9(3): 22-27. https://doi.org/10.13107/ijpo.2023.v09.i03.159

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Mimics of Paediatric Musculoskeletal Infections and their Management

Sequelae of Paediatric Musculoskeletal Infections

Mimics of Paediatric Musculoskeletal Infections and their Management

Sequelae of Paediatric Musculoskeletal Infections

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Mimics of Paediatric Musculoskeletal Infections and their Management

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Sequelae of Paediatric Musculoskeletal Infections

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