Brachial plexus neuropathy - a rare manifestation of osteoarticular infection

  • Ana Moutinho Pediatric Service of Unidade Local de Saúde do Baixo Alentejo, Hospital José Joaquim Fernandes
  • Margarida Valério Pediatric Service of Hospital São Francisco Xavier
  • Inês Marques Pediatric Service of Centro Hospital do Barreiro Montijo, Hospital de Nossa Senhora do Rosário
  • Catarina Carrusca Pediatric Service of Hospital Reynaldo dos Santos
  • José Pedro Vieira Pediatric Neurology Service of Hospital Dona Estefânia, Centro Hospitalar Lisboa Central
  • Delfin Tavares Pediatric Orthopedic Service of Hospital Dona Estefânia, Centro Hospitalar Lisboa Central
  • Manuel Cassiano Neves Pediatric Orthopedic Service of Hospital Dona Estefânia, Centro Hospitalar Lisboa Central
Keywords: brachial palsy, neuropathy, osteoarticular infection, osteomyelitis, septic arthritis

Abstract

Background: Brachial palsy is a rare condition beyond the neonatal period. Usually it is caused by physical mechanisms, but may be related with osteo-articular infections. There are few cases describing the association between these infections and true nerve paralysis. On the other hand, pseudo-paralysis or apparent weakness of a limb associated with septic arthritis or osteomyelitis is a well-documented phenomenon

Case Report: We describe three cases of osteoarticular infection manifested by flaccid limb paralysis without the typical systemic signs of infection. The timing of rcognition differed among the cases, as well as the therapeutic interventions and the outcome.

Discussion: Osteo-articular infections may go unrecognized in infancy. We highlight this rare manifestation of osteo-articular infection to avoid the delay in diagnosis and associated sequelae.

References

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Published
2015-06-15
How to Cite
Moutinho, A., Valério, M., Marques, I., Carrusca, C., Vieira, J. P., Tavares, D., & Neves, M. C. (2015). Brachial plexus neuropathy - a rare manifestation of osteoarticular infection. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 24(2), 75-78. https://doi.org/10.25753/BirthGrowthMJ.v24.i2.8563
Section
Case Reports