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Bone and joint infections in children 

Bone and joint infections in children
Chapter:
Bone and joint infections in children
Source:
Oxford Textbook of Rheumatology (4 ed.)
Author(s):

Priya Sukhtankar

, Julia Clark

, and Saul N. Faust

DOI:
10.1093/med/9780199642489.003.0099_update_001
Previous versions of this chapter are available. To view earlier versions of this chapter view the full site here.

Bone and joint infections in children are uncommon, but they affect all ages and there is a wide range of disease. The mode of infection may be haematogenous or by direct inoculation from a wound. The child may present acutely unwell or with a chronic infection. Clinical features include fever, reluctance to move the affected limb, pain, and swelling. Laboratory tests and medical imaging are used to confirm diagnosis. Medical treatment is with initial intravenous antibiotic therapy, usually followed by oral treatment. Surgical treatment may be necessary if abscess or joint collection is present. In general prognosis is good with timely initiation of treatment, although complications such as pathological fracture are occasionally seen.

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