Odetunde Oi, Aderibigbe Ao, Chinawa Jm, Odetunde Oa, Okenwa Wo, Onyemaechi Ndubisi Oc
Department of Pediatrics, University of Nigeria Teaching Hospital, Ituku Ozalla, Nigeria ; Department of Pediatrics, Enugu State University Teaching Hospital, Enugu, Nigeria.
Department of Radiation Medicine, University of Nigeria Teaching Hospital, Ituku Ozalla, Nigeria ; Department of Clinical Radiology, Enugu State University Teaching Hospital, Enugu, Nigeria.
Ann Med Health Sci Res. 2014 Nov;4(6):968-70. doi: 10.4103/2141-9248.144929.
Neonatal osteomyelitis (NO) is said to be rare and uncommonly reported in the sub-region. Although this may be true, either because the cases are under-diagnosed, unreported or under-reported. The diagnosis is clinical and supported with blood culture or the aspiration of pus with radiological findings. We report a case of a neonate with acute osteomyelitis of the right femur, diagnosed at 10(th) day of life, which was confirmed with blood culture and radiogram findings of the right upper thigh of the baby. To the best of our knowledge, this is the first documented reported case of NO from the south-eastern Nigeria. It is imperative to recognize the clinical presentation necessary to raise the suspicion of NO and other focal infection in the newborn. With thorough examination and selected investigation the focus of infection in the neonate can be detected.
新生儿骨髓炎（NO）在该次区域据说很罕见，且报道不多。尽管可能确实如此，但这要么是因为病例诊断不足、未报告，要么是报告不充分。诊断依靠临床症状，并通过血培养或脓液抽吸以及放射学检查结果来支持。我们报告一例新生儿右股骨急性骨髓炎病例，该患儿在出生第10天被诊断出来，通过血培养以及患儿右上大腿的X光片检查结果得以确诊。据我们所知，这是尼日利亚东南部第一例有文献记载的新生儿骨髓炎报告病例。必须认识到能引起对新生儿骨髓炎及其他局部感染怀疑的临床表现。通过全面检查和针对性的调查，可以检测出新生儿感染的病灶。
