RT Book, Section
A1 Allen, Coburn H.
A1 Iyer, Sujit S.
A1 Moro-Sutherland, Donna M.
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1105683309
T1 Soft Tissue Infections
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105683309
RD 2024/04/18
AB Bacterial  (septic)  arthritis  occurs  most  commonly  in  children  younger  than  3  years.  Staphylococcus  aureus  is  the  most  common  cause  of  bacterial  arthritis  in  all  age  groups.Prepatellar  bursitis  (septic)  is  seen  in  children  with  local  cellulitis  and  often  local  trauma.  Children  will  present  with  local  signs  of  infection  and  preservation  of  joint  function.  Treatment  is  focused  on  local  aspiration  and  drainage  and  antibiotics  targeted  at  S.  aureus.Discitis  presents  in  children  most  commonly  with  abnormal  gait  or  lower  back  pain.  Clinical  improvement  comes  with  early  anti-inflammatory  medications  and  antibiotics  targeted  at  S.  aureus  and  Kingella  kingae.Clinical  manifestation  of  infectious  tenosynovitis  ranges  from  pain  with  passive  extension  to  tenderness  along  the  tendon  sheath.  Management  includes  surgical  intervention  and  antibiotic  therapyOsteomyelitis  typically  develops  after  a  period  of  bacteremia  and  presents  with  fever,  and  progressively  increasing  bone  pain  or  limp.  S.  aureus  is  the  most  common  cause  of  acute  hematogenous  osteomyelitis  in  children;  however,  K.  kingae  is  increasingly  identified  in  preschool  aged  children  with  osteoarticular  infections.