Osteomyelitis, Venous Thrombosis, and Septic Emboli in a Pediatric Patient: A Case Report.

Fecha de publicación: 01/10/2020

Autores de IIS La Fe

Pablo Jordà Gomez

Autor
Mª Nieves Vanaclocha Saiz

Autor
Joan Ferràs Tarragó

Autor
Jose Rafael Breton

Autor
María Ángeles Blasco Mollá

Autor

Grupos

Cirugía Ortopédica y Traumatología

Leader

Francisco Baixauli García

Abstract

New virulence factors, such as the Panton-Valentine leukocidin (PVL), are appearing during Staphylococcus aureus infections occurring in the pediatric population. Such factors increase the aggressiveness and risk of dissemination of the bacteria, causing infections to be life-threatening. An early diagnosis is thus especially important. We present a case of osteomyelitis, venous thrombosis, and septic emboli occurring in a pediatric patient that should trigger suspicion of a PVL-positive strain. A multidisciplinary approach is necessary to enable rapid diagnosis and early treatment, which is essential for successful management of these infections. Management is based on broad-spectrum antibiotics, in combination with aggressive surgical treatment and antithrombotic therapy. In patients infected with S. aureus whose condition worsens quickly, PVL gene sequencing should be considered.

Datos de la publicación

ISSN/ISSNe:: 0741-5206, 1550-1841
Tipo:: Article
Páginas:: 197-201
DOI:: 10.1097/PSN.0000000000000332
PubMed:: 33259420
Factor de Impacto:: 0,199 SCImago ℠
Cuartil:: Q3 SCImago ℠

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Jordà Gómez P:: Pablo Jordà Gómez, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Nieves Vanaclocha, MD, is a plastic surgery resident at Department of Plastic and Reconstructive Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Joan Ferràs Tarrago, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Jose Rafael Bretón Martínez, MD, is a pediatrician at Department of Pediatrics, Hospital Clínic Universitari, Valencia, Spain

Maria Ángeles Blasco Mollá, MD, is a pediatric orthopedic surgeon at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain
Vanaclocha N:: Pablo Jordà Gómez, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Nieves Vanaclocha, MD, is a plastic surgery resident at Department of Plastic and Reconstructive Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Joan Ferràs Tarrago, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Jose Rafael Bretón Martínez, MD, is a pediatrician at Department of Pediatrics, Hospital Clínic Universitari, Valencia, Spain

Maria Ángeles Blasco Mollá, MD, is a pediatric orthopedic surgeon at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain
Ferràs Tarrago J:: Pablo Jordà Gómez, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Nieves Vanaclocha, MD, is a plastic surgery resident at Department of Plastic and Reconstructive Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Joan Ferràs Tarrago, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Jose Rafael Bretón Martínez, MD, is a pediatrician at Department of Pediatrics, Hospital Clínic Universitari, Valencia, Spain

Maria Ángeles Blasco Mollá, MD, is a pediatric orthopedic surgeon at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain
Bretón Martínez JR:: Pablo Jordà Gómez, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Nieves Vanaclocha, MD, is a plastic surgery resident at Department of Plastic and Reconstructive Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Joan Ferràs Tarrago, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Jose Rafael Bretón Martínez, MD, is a pediatrician at Department of Pediatrics, Hospital Clínic Universitari, Valencia, Spain

Maria Ángeles Blasco Mollá, MD, is a pediatric orthopedic surgeon at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain
Blasco Mollá MÁ:: Pablo Jordà Gómez, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Nieves Vanaclocha, MD, is a plastic surgery resident at Department of Plastic and Reconstructive Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Joan Ferràs Tarrago, MD, is a orthopaedic surgery resident at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain

Jose Rafael Bretón Martínez, MD, is a pediatrician at Department of Pediatrics, Hospital Clínic Universitari, Valencia, Spain

Maria Ángeles Blasco Mollá, MD, is a pediatric orthopedic surgeon at Department of Traumatology and Orthopedic Surgery, Hospital Universitari i Politécnic La Fe, Valencia, Spain