Faculty of Medicine, Damascus University, Mashrou Dummar, Damascus, Syria.
Stemosis for Scientific Research, Damascus, Syria.
J Med Case Rep. 2023 Oct 28;17(1):471. doi: 10.1186/s13256-023-04172-w.
Septic pulmonary embolism (SPE), deep vein thrombophlebitis (DVT), and acute osteomyelitis (AOM) form a triad that is rarely seen in children and is usually associated with a history of trauma on long bones. Unfortunately, a delay in diagnosis is frequently observed in this syndrome, which places the patient at risk of life-threatening complications. This delay can largely be attributed to the failure to consider osteomyelitis as a potential underlying cause of DVT.
In this case report, we present the case of a 16-year-old Arabian male who presented with limb trauma and fever. The patient had a delayed diagnosis of osteomyelitis, which resulted in the formation of an abscess and subsequent joint destruction. Surgical drainage and joint replacement surgery were deemed necessary for treatment.
persistent fever along with a history of trauma on a long bone with signs of DVT of the limb in a child should raise concern for osteomyelitis and an MRI evaluation of the limb should be obtained.
脓毒性肺栓塞（SPE）、深静脉血栓形成（DVT）和急性骨髓炎（AOM）形成三联征，在儿童中很少见，通常与长骨外伤史有关。不幸的是，这种综合征经常出现诊断延迟，使患者面临危及生命的并发症的风险。这种延迟在很大程度上归因于未能将骨髓炎视为 DVT 的潜在潜在原因。
在本病例报告中，我们介绍了 16 岁的阿拉伯男性患者，他因肢体创伤和发热就诊。患者骨髓炎的诊断延迟，导致脓肿形成和随后的关节破坏。需要手术引流和关节置换手术进行治疗。
对于儿童肢体出现 DVT 迹象的长骨外伤史，伴有持续发热，应警惕骨髓炎的发生，应进行肢体 MRI 评估。
