Complex Radial Diagnostics of Complicated Septicopyemic Multifocal Forms of theу Osteomyelitis in a Newborn. Literature Review with Own Clinical Observation
Abstract
Acute hematogenous osteomyelitis in newborns occurs with a frequency of about 0,4 % of all live births, and this figure does not tend to decrease, despite the significant success of periand neonatology. In approximately 25-30% of cases, 2 bones are affected at the same time, extremely rarely - 3 or more. Our own observation of a unique multiplicity of lesions - 14 osteomyelitis foci, including such a rare localization as the ilium with the formation of the psoas abscess, upper jaw, upper cervical vertebrae with the formation of deep retropharyngeal neck abscess. The course of the disease was complicated by massive sinus thrombosis, multiple organ changes of an infectious-toxic nature. Equipping the clinic with all types of modern means of radiation diagnostics made it possible to diagnose all lesions and carry out targeted treatment as soon as possible. The article is extensively illustrated and contains a review of the literature, affecting mainly rare variants of osteomyelitis in infants.
About the Authors
E. B. Olkhova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
N. A. Sholokhova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
A. S. Kirsanov
Clinical Municipal Children Hospital St. Vladimir, Moscow Healthcare Department
Russian Federation
Russian Federation
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Review
For citations:
Olkhova E.B., Sholokhova N.A., Kirsanov A.S. Complex Radial Diagnostics of Complicated Septicopyemic Multifocal Forms of theу Osteomyelitis in a Newborn. Literature Review with Own Clinical Observation. Radiology - Practice. 2020;(3):62-74. (In Russ.)
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