# Concurrent Hematogenous Osteomyelitis, Deep Vein Thrombosis, and Septic Pulmonary Embolism in an Adolescent Male: A Rare Presentation

**Authors:** Ia Khurtsilava, Darejan Kanjaradze, Natia Tsirdava, Tistsino Parulava, Irakli Darsania, Ekaterine Gozalishvili

PMC · DOI: 10.7759/cureus.80057 · Cureus · 2025-03-04

## TL;DR

A 13-year-old boy had a rare combination of bone infection, blood clots, and lung infection, which required surgery and improved after treatment.

## Contribution

This case report highlights a rare simultaneous occurrence of osteomyelitis, DVT, and septic pulmonary embolism in a pediatric patient.

## Key findings

- The patient had concurrent osteomyelitis, DVT, and septic pulmonary embolism.
- MRI confirmed the diagnosis, and surgery led to clinical improvement.
- The patient recovered fully with no neurological changes.

## Abstract

This case report describes a rare presentation of simultaneous hematogenous osteomyelitis, deep vein thrombosis (DVT), and septic pulmonary embolism in a 13-year-old male adolescent. While pediatric osteomyelitis is relatively common, the combination of venous thrombosis and pulmonary embolism is infrequently reported. Despite receiving antibacterial and antithrombotic treatment, the patient did not show any significant improvement. An MRI led to the diagnosis of osteomyelitis, and surgical intervention was performed. Post-surgery, the patient's clinical condition improved, enabling the removal of artificial ventilation and discharge from the clinic. The patient successfully returned to normal life with no neurological changes. This report highlights the need for timely diagnostic interventions and a comprehensive and collaborative approach to managing rare pediatric conditions. Raising awareness about such rare combinations is important to reduce the risk of complications in pediatric patients.

## Linked entities

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

## Full-text entities

- **Diseases:** Hematogenous Osteomyelitis (MESH:D010019), Pulmonary Embolism (MESH:D011655), DVT (MESH:D020246)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11968452/full.md

## References

7 references — full list in the complete paper: https://tomesphere.com/paper/PMC11968452/full.md

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Source: https://tomesphere.com/paper/PMC11968452