# MRI Findings of Acute on Chronic Osteomyelitis of Tibia in a 12-Year-Old Child

**Authors:** Iram Saifi, Pallavi Kar, Shivali V Kashikar, Pratapsingh Parihar, Azeem I Saifi, Khizer Ansari

PMC · DOI: 10.7759/cureus.67679 · Cureus · 2024-08-24

## TL;DR

This case study describes the MRI findings and treatment of a 12-year-old child with a severe bone infection in the tibia.

## Contribution

The study highlights the importance of early detection and multidisciplinary treatment in pediatric osteomyelitis.

## Key findings

- MRI confirmed the presence of acute on chronic osteomyelitis in the tibia.
- Combination therapy with surgery and intravenous antibiotics was effective in treating the infection.
- Early and intensive treatment prevented long-term complications in the patient.

## Abstract

Pediatric patients with osteomyelitis, a serious bone infection, have several difficulties. A 12-year-old child with an acute osteomyelitis diagnosis is the subject of this case study. The child had decreased limb function, a fever, and localized pain. Laboratory testing and diagnostic imaging procedures verified that Staphylococcus aureus was the culprit for the infection. Surgical debridement and intravenous antibiotics were used in combination for treatment. Therapy responses were constantly examined, and modifications were made in response to clinical and radiological findings. Prompt intensive treatment and early detection were essential for controlling the infection and averting long-term consequences. This example emphasizes the value of a multidisciplinary approach to treating pediatric osteomyelitis, pointing out possible directions for future study and presenting best practices.

## Linked entities

- **Diseases:** osteomyelitis (MONDO:0005246)

## Full-text entities

- **Diseases:** fever (MESH:D005334), infection (MESH:D007239), bone infection (MESH:D001847), decreased limb function (MESH:D001259), Acute on Chronic Osteomyelitis (MESH:D001930), osteomyelitis (MESH:D010019), pain (MESH:D010146)
- **Species:** Staphylococcus aureus (species) [taxon 1280], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11419406/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC11419406/full.md

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Source: https://tomesphere.com/paper/PMC11419406