![]() ![]() We have found a predominance of children with sickle cell disease, the association between sickle cell disease and osteomyelitis being well established. In our study, it represented 9,1% of all osteomyelitis. Osteomyelitis of flat bones is a rare disease. There was no abscess, and the patient had not undergone surgery.įunctional impotence of pelvic limb was found in patients with scapular, pelvic and patellar osteomyelitis. There was only one case of a 5-year-old girl with an osteomyelitis with sternal deformity due to a septic dislocation of the sternal arches ( Fig. 1). Consequently, after identification of the infective bacteria, antibiogram-guided antibiotherapy seemed to be the most reasonable treatment option.Īlmost every patient was received at the stage of abscessing, which required debridement, and when needed, bone curettage or bone trepanation under general anaesthesia. These were the 2 cases of pelvic osteomyelitis and one case skull and patellar osteomyelitis. ![]() The treatment consisted of a probabilistic parenteral antibiotic with anti-staphylococcal Oxacillin or cephalosporin of 2nd or 3rd generation for 10–14 days, associated with an aminoglycoside with oral relay after 4–6 weeks depending on the outcome except for 3 sickle cell patients whose clinical outcome was marked by persistence of fever and/or suppuration, thus justifying longer duration of treatment and hospitalization. ![]()
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