Chochliourou Elpis, Trevlias Ioannis, Ziaka Maria, Tzantzaroudi Aikaterini, Antachopoulos Charalampos
School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Third Department of Pediatrics, Infectious Diseases Unit, Hippokration General Hospital, Thessaloniki, GRC.
Cureus. 2025 Jul 12;17(7):e87778. doi: 10.7759/cureus.87778. eCollection 2025 Jul.
Osteomyelitis is a relatively rare infection in children that can develop in the context of foot nail injuries. Contiguous osteomyelitis may develop from trauma, inoculation during surgical procedures, or from neighboring infected tissue. We present a rare case of a patient with contiguous osteomyelitis following surgical nail removal due to persistent onychomycosis. Considering the severity of the infection, a phalanx amputation was performed. Chronic osteomyelitis, which can result from the contiguous spread of infection following an injury, may lead to serious complications. Each type of osteomyelitis requires different treatment strategies, either medical or surgical. Prompt diagnosis is crucial for both prognosis and successful treatment. The latter mandates interdisciplinary interventions combining patient assessment, antibiotics, and surgery.
骨髓炎在儿童中是一种相对罕见的感染，可在脚趾甲受伤的情况下发生。相邻部位的骨髓炎可能由外伤、手术过程中的接种或邻近感染组织发展而来。我们报告了一例罕见病例，该患者因持续性甲癣在手术拔甲后发生了相邻部位的骨髓炎。考虑到感染的严重程度，进行了指骨截肢术。慢性骨髓炎可由受伤后感染的蔓延引起，可能导致严重并发症。每种类型的骨髓炎都需要不同的治疗策略，包括药物治疗或手术治疗。及时诊断对于预后和成功治疗都至关重要。后者需要跨学科干预，包括患者评估、抗生素治疗和手术。
