Bone Pain in a Soccer Athlete: Chronic Nonbacterial Osteomyelitis
No abstract available
ConclusionNearly one-fourth of the children presented with isolated back pain, particularly girls. The most common sites of disease were the femur, tibia and pelvic bones. Increased inflammatory markers seem to predict the number of MRI sites involved.
PMID: 33031205 [PubMed - in process]
ConclusionsThe complications of CPSIED infection were higher among patients that did not undergo device removal.
CONCLUSIONS: Mini-open lateral retropleural and retroperitoneal corpectomies can safely achieve anterior column reconstruction and spinal deformity correction for various thoracic and thoracolumbar vertebral pathologies. PMID: 32871570 [PubMed - in process]
This study reports a case of osteomyelitis of jaws in a 44-year-old male patient who had his 36 and 38 teeth extracted, and a fragment of distal root was left in the alveolus of 36. Almost 2 months after extraction this patient returned to the clinic with an extraoral abscess with 2 weeks of evolution. An increase in left side volume was observed in the mandibular region, which showed no pain symptoms but was palpable and contained secretion. On intraoral examination, he had a fistula. Thus, penicillin was prescribed to combat infection, and after 1 week reopening, curettage, and region drainage were performed.
CONCLUSIONS: The differences in clinical presentation, radiological features and response to treatment described in this multinational cohort of CNO/CRMO might provide novel insights into this still elusive disease. PMID: 32828142 [PubMed - as supplied by publisher]
Purpose of review To describe the main clinical differences of children and adults with chronic nonbacterial osteomyelitis (CNO). Recent findings CNO is a severe systemic autoinflammatory syndrome characterized by multiple bone lesions because of inflammatory osteitis. Delay to diagnosis of CNO can lead to functional impairment, fractures, and chronic pain. Key clinical aspects and disease patterns differ in children and adults, including onset and time to diagnosis, symptom localization, associated comorbidities (i.e. skin, joints), bone lesion distribution pattern, and treatment approach. Novel biomarkers, such as u...
A 13-year-old male presented with the chief complaint of pain and facial swelling on the left side. His medical history was significant for chronic recurrent multifocal osteomyelitis (CRMO) and hospitalization for recurrent right facial swelling, tenderness, and chronic ankle pain.
We report the case of a 5-year-old girl with spontaneous jaw pain and a large pre-auricular facial swelling overlying the angle of the mandible that was non-responsive to previous antibiotic and non-steroidal anti-inflammatory treatment. The diagnosis was confirmed as CNO following evaluation and workup by a multidisciplinary team. The patient exhibited a favourable response to oral alendronate sodium plus vitamin D3 combination treatment.
ConclusionSurgical treatment of VO patients leads to significantly improved QoL. Nevertheless, QoL levels were below those of the general population. Our results underscore that spine disability questionnaires measuring QoL are mandatory to demonstrate comprehensively the severity of this entity. Our study confirms a high mortality and points out the role of VO as a potentially life-threatening condition.