PMID- 10088679
OWN - NLM
STAT- MEDLINE
DCOM- 19990505
LR  - 20190909
IS  - 0271-6798 (Print)
IS  - 0271-6798 (Linking)
VI  - 19
IP  - 2
DP  - 1999 Mar-Apr
TI  - Tuberculous osteomyelitis in young children.
PG  - 151-5
AB  - Twenty-three cases of tuberculous osteomyelitis in children were reviewed. Age at 
      diagnosis ranged from 10 months to 11 years; 17 patients were younger than 3 
      years. At clinical presentation, patients were generally afebrile with local 
      swelling and painful limb disability. Delay in diagnosis was common, with an 
      average of 4.3 months. Laboratory data showed mild increase in white cell counts 
      and erythrocyte sedimentation rates. However, C-reactive protein levels were all 
      within normal limits except one. Roentgenograms demonstrated osteolytic lesions 
      over metaphyseal areas with surrounding soft-tissue swelling. All patients had 
      received BCG vaccinations at infancy. None of the patients had pulmonary 
      tuberculosis. No familial or environmental history could be attributed to these 
      victims, nor was any immunodeficient disease noted. Bacille Calmette-Guerin (BCG) 
      vaccination was suspected to be the cause of tuberculosis in these young 
      children. All patients received surgical debridement and oral antituberculosis 
      chemotherapy for 1 year. After an average follow-up period of 71.4 months, all 
      children had complete bony healing and excellent clinical results.
FAU - Wang, M N
AU  - Wang MN
AD  - Veterans General Hospital, Taipei, Taiwan, R.O.C.
FAU - Chen, W M
AU  - Chen WM
FAU - Lee, K S
AU  - Lee KS
FAU - Chin, L S
AU  - Chin LS
FAU - Lo, W H
AU  - Lo WH
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Pediatr Orthop
JT  - Journal of pediatric orthopedics
JID - 8109053
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Curettage
MH  - Debridement
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Osteomyelitis/*diagnosis/diagnostic imaging/microbiology
MH  - Radiography
MH  - Retrospective Studies
MH  - Tuberculosis, Osteoarticular/*diagnosis/diagnostic imaging
EDAT- 1999/03/24 00:00
MHDA- 1999/03/24 00:01
CRDT- 1999/03/24 00:00
PHST- 1999/03/24 00:00 [pubmed]
PHST- 1999/03/24 00:01 [medline]
PHST- 1999/03/24 00:00 [entrez]
AID - 10.1097/00004694-199903000-00003 [doi]
PST - ppublish
SO  - J Pediatr Orthop. 1999 Mar-Apr;19(2):151-5. doi: 
      10.1097/00004694-199903000-00003.