This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Hospital Series and Literature Review

Norman M. Jacobs, MD

Am J Dis Child. 1991;145(1):70-74.

Abstract
• Twenty-nine children with pneumococcal osteomyelitis and/or arthritis, 11 of whom had osteomyelitis, were treated at Cook County Hospital, Chicago, Ill, in the past 20 years. They were mostly normal children with a single focus of infection. They represented more than 5% of the hospitalized children with a systemic pneumococcal infection. Most of the pneumococcal isolates were serotyped; serotype 19, in particular, seemed to be unusually common in these children. Twenty-three of the 29 children with pneumococcal osteomyelitis and/or arthritis had been hospitalized in the past 15 years. These 23 children were compared with 161 hospitalized children who had bone and joint infections with other isolated bacteria. The children with pneumococcal osteomyelitis and/or arthritis were indistinguishable from most of the other children, except by age. All but three of the children with pneumococcal osteomyelitis and/or arthritis were between the ages of 3 and 24 months. In this age group, Pneumococcus was the common isolate from children with osteomyelitis, and second only to Haemophilus influenzae from children with bacterial arthritis. Pneumococcal osteomyelitis and/or arthritis has never been rare; the medical literature describes at least 245 other children, most of whom were younger than 2 years.

(AJDC. 1991;145:70-74)

Author Affiliations
From the Departments of Pediatrics, Cook County Hospital and University of Illinois School of Medicine, Chicago.

Footnotes
Accepted for publication June 5,1990.

Reprint requests to Department Pediatrics, Cook County Hospital, 700 S Wood St, Chicago, IL 60612 (Dr Jacobs).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Group A {beta}-Hemolytic Streptococcal Osteomyelitis in Children
Ibia et al.
Pediatrics 2003;112:e22-26.
ABSTRACT | FULL TEXT  

Pediatric Pneumococcal Bone and Joint Infections
Bradley et al.
Pediatrics 1998;102:1376-1382.
ABSTRACT | FULL TEXT