Imaging case

Authors

  • Fábio Barroso Department of Pediatrics, Centro Materno-Infantil do Norte, Centro Hospitalar do Porto http://orcid.org/0000-0002-2708-0165
  • João Nascimento Department of Pediatrics, Hospital Pediátrico de Coimbra, Centro Hospitalar e Universitário de Coimbra

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v26.i2.10795

Keywords:

Calcaneal, osteomyelitis, Sever’s disease

Abstract

Introduction: Calcaneal osteomyelitis is a relatively rare entity and may be underdiagnosed for not being correctly recognized.

Case report: An eight-year-old white boy presented with heel pain and an inability to weight-bearing. The condition was misdiagnosed as Sever’s disease so he was discharged with symptomatic treatment. Magnetic resonance imaging two weeks after clinical onset revealed diffuse osteomyelitis of his calcaneum. He underwent six weeks of antibiotics administered intravenously, with clinical improvement. In one year of follow-up he has no evidence of complications.

Discussion: Paediatricians should include calcaneal osteomyelitis as a differential diagnosis in any child/adolescent presenting with indolent heel pain. Delays in the diagnosis can lead to disastrous complications.

References

Chen K, Balloch R. Management of calcaneal osteomyelitis.

Clin Podiatr Med Surg. 2010; 27:417-29.

Mallia et al. Delayed recognition of pediatric calcaneal osteomyelitis:

a case report. Journal of Medical Case Reports.

; 9:185.

Puffinbarger W. et al. Osteomyelitis of the calcaneus in

children. J Pediatr Orthop. 1996; 16: 224–30.

Jaakkola J, Kehl D. Hematogenous calcaneal osteomyelitis

in children. J Pediatr Orthop. 1999; 19:699–708.

Hamdy R. et al. Subacute hematogenous osteomyelitis:

are biopsy and surgery always indicated? J Pediatr Orthop.

; 16:220–3.

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Published

2017-07-24

How to Cite

Barroso, F., & Nascimento, J. (2017). Imaging case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 26(2), 148–149. https://doi.org/10.25753/BirthGrowthMJ.v26.i2.10795

Issue

Section

Imaging Cases

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