DOI: http://dx.doi.org/10.18203/2349-3933.ijam20203131

An unusual case of chest pain

Saswat Subhankar, K. Madhuri, Vivek D. Alone

Abstract


Osteomyelitis is an infection of the bones caused by pyogenic organisms. The ribs are an extremely uncommon site for osteomyelitis, occurring in less than 1% cases. The main causative organisms are Gram-positive bacteria, such as Staphylococcus aureus and Hemophilus influenzae. Gram-negative bacteria like E. coli have been rarely reported. Authors hereby present a case of an immune-competent patient who presented with an osteomyelitis of the ribs caused by the latter. In developing countries, tuberculosis is considered as the primary cause of osteomyelitis and pleural effusions. However, other organisms should also be considered in patients who present with fulminant infections.


Keywords


Escherichia coli, Immune-competent, Osteomyelitis, Ribs

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References


Brock R. Osteomyelitis of the ribs. Guy’s Hospital Reports. 1957;156:156-77.

Dich VQ, Nelson JD, Haltalin KC. Osteomyelitis in infants and children. A review of 163 cases. Am J Dis Child. 1975;129:1273-8.

Mollan RAB, Piggot J. Acute osteomyelitis in children. J Bone Joint Surg. 1977;59B:2-7.

Bishara J, Gartman-Israel D, Weinberger M, Maimon S, Tamir G, Pitlik S. Osteomyelitis of the ribs in the antibiotic era. Scand J Infect Dis. 2000;32:223-7.

Basa NR, Si M, Ndiforchu F. Staphylococcal rib osteomyelitis in a pediatric patient. J Pediatr Surg. 2004;39(10):1576-7.

Nascimento M, Oliveira E, Soares S. Rib osteomyelitis in a pediatric patient: case report and literature review. Pediatr Infe Dise J. 2012;31(11):1190-4.

Osinowo O, Adebonojo SA, Adebo OA. Childhood empyema in Ibadan, Nigeria. Nigerian Med J. 1982;12:337-47.

Bar-Ziv J, Barki Y, Maroko A, Mares AJ. Rib osteomyelitis in children. Early radiologic and ultrasonic findings. Pediatr Radiol 1985;15:315-8.

Conrad DA. Acute hematogenous osteomyelitis. Pediatr Rev. 2010;31:464-71.