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Peculiarities and Pitfalls in the Imaging of Pediatric Musculoskeletal Infections

  • Simon G. F. Robben

Abstract

This chapter addresses the role of imaging in the diagnosis of various “trivial” infectious diseases in childhood, including cellulitis, subcutaneous abscess, necrotizing fasciitis, pyomyositis, infectious bursitis and arthritis, osteomyelitis, foreign bodies, infectious lymphadenitis, as well as some “peculiar” pediatric infectious diseases.

Keywords

Septic Arthritis Chronic Granulomatous Disease Necrotizing Fasciitis Joint Effusion Slip Capital Femoral Epiphysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Blickman JG, van Die CE, de Rooy JW (2004) Current imaging concepts in pediatric osteomyelitis. Eur Radiol 14(Suppl 4): L55–L64PubMedGoogle Scholar
  2. 2.
    Oudjhane K, Azouz EM (2001) Imaging of osteomyelitis in children. Radiol Clin North Am 39:251–266CrossRefPubMedGoogle Scholar
  3. 3.
    Choa H, Lin S, Huang Y, Lin T (2000) Sonographic evaluation of cellulitis in children. J Ultrasound Med 19:743–749Google Scholar
  4. 4.
    Struk DW, Munk PL, Lee MJ et al (2001) Imaging of soft tissue infections. Radiol Clin North Am 39:277–303CrossRefPubMedGoogle Scholar
  5. 5.
    Cardinal E, Bureau N, Aubin B, Chhem R (2001) Role of ultrasound in musculoskeletal infection. Radiol Clin North Am 39:191–201CrossRefPubMedGoogle Scholar
  6. 6.
    Loyer EM, DuBrow RA, David CL et al (1996) Imaging of superficial soft-tissue infections: sonographic findings in cases of cellulitis and abscess. AJR Am J Roentgenol 166:149–152PubMedGoogle Scholar
  7. 7.
    Rahmouni A, Chosidow O, Mathieu D et al (1994) MR imaging in acute infectious cellulitis. Radiology 192:493–496PubMedGoogle Scholar
  8. 8.
    Kothari NA, Pelchovitz DJ, Meyer JS (2001) Imaging of musculoskeletal infections. Radiol Clin North Am 39:653–671CrossRefPubMedGoogle Scholar
  9. 9.
    Chao HC, Kong MS, Lin TY (1999) Diagnosis of necrotizing fasciitis in children. J Ultrasound Med 18:277–281PubMedGoogle Scholar
  10. 10.
    Loh NN, Ch’en IY, Cheung LP, Li KC (1997) Deep fascial hyperintensity in soft-tissue abnormalities as revealed by T2-weighted MR imaging. AJR Am J Roentgenol 168:1301–1304PubMedGoogle Scholar
  11. 11.
    Bureau N, Ry C, Cardinal E (1999) Musculoskeletal infections: US manifestations. Radiographics 19:1585–1592PubMedGoogle Scholar
  12. 12.
    Loyer EM, Kaur H, David CL et al (1995) Importance of dynamic assessment of the soft tissues in the sonographic diagnosis of echogenic superficial abscesses. J Ultrasound Med 14:669–671PubMedGoogle Scholar
  13. 13.
    Sofka CM, Collins AJ, Adler RS (2001) Use of ultrasonographic guidance in interventional musculoskeletal procedures. J Ultrasound Med 20:21–26PubMedGoogle Scholar
  14. 14.
    Newman JS, Adler RS, Bude RO, Rubin JM (1994) Detection of soft-tissue hyperemia: value of power Doppler sonography. AJR Am J Roentgenol 163:385–389PubMedGoogle Scholar
  15. 15.
    Breidahl WH, Newman JS, Taljanovic MS, Adler RS (1996) Power Doppler sonography in the assessment of musculoskeletal fluid collections. AJR Am J Roentgenol 166:1443–1446PubMedGoogle Scholar
  16. 16.
    Mazur JM, Ross G, Cummings J et al (1995) Usefulness of magnetic resonance imaging for the diagnosis of acute musculoskeletal infections in children. J Pediatr Orthop 15:144–147PubMedGoogle Scholar
  17. 17.
    Bowerman SG, Green NE, Mencio GA (1997) Decline of bone and joint infections attributable to haemophilus influenzae type b. Clin Orthop 341:128–133PubMedGoogle Scholar
  18. 18.
    Asmar BI (1992) Osteomyelitis in the neonate. Infect Dis Clin North Am 6:117–132PubMedGoogle Scholar
  19. 19.
    Bar-Ziv J, Barki Y, Maroko A, Mares AJ (1985) Rib osteomyelitis in children. Early radiologic and ultrasonic findings. Pediatr Radiol 15:315–318CrossRefPubMedGoogle Scholar
  20. 20.
    Howard CB, Einhorn M, Dagan R, Nyska M (1993) Ultrasound in diagnosis and management of acute haematogenous osteomyelitis in children. J Bone Joint Surg Br 75:79–82PubMedGoogle Scholar
  21. 21.
    Kaiser S, Rosenborg M (1994) Early detection of subperiosteal abscesses by ultrasonography. A means for further successful treatment in pediatric osteomyelitis. Pediatr Radiol 24:336–339CrossRefPubMedGoogle Scholar
  22. 22.
    Abernethy LJ, Lee YC, Cole WG (1993) Ultrasound localization of subperiosteal abscesses in children with late-acute osteomyelitis. J Pediatr Orthop 13:766–768PubMedGoogle Scholar
  23. 23.
    Riebel TW, Nasir R, Nazarenko O (1996) The value of sonography in the detection of osteomyelitis. Pediatr Radiol 26:291–297CrossRefPubMedGoogle Scholar
  24. 24.
    Mah ET, LeQuesne GW, Gent RJ, Paterson DC (1994) Ultrasonic features of acute osteomyelitis in children. J Bone Joint Surg Br 76:969–974PubMedGoogle Scholar
  25. 25.
    Cheon JE, Chung HW, Hong SH et al (2001) Sonography of acute osteomyelitis in rabbits with pathologic correlation. Acad Radiol 8:243–249CrossRefPubMedGoogle Scholar
  26. 26.
    Abiri MM, DeAngelis GA, Kirpekar M et al (1992) Ultrasonic detection of osteomyelitis. Pathologic correlation in an animal model. Invest Radiol 27:111–113CrossRefPubMedGoogle Scholar
  27. 27.
    Chao HC, Lin SJ, Huang YC, Lin TY (1999) Color Doppler ultrasonographic evaluation of osteomyelitis in children. J Ultrasound Med 18:729–734PubMedGoogle Scholar
  28. 28.
    Spiegel DA, Meyer JS, Dormans JP et al (1999) Pyomyositis in children and adolescents: report of 12 cases and review of the literature. J Pediatr Orthop 19:143–150CrossRefPubMedGoogle Scholar
  29. 29.
    Christin L, Sarosi GA (1992) Pyomyositis in North America: case reports and review. Clin Infect Dis 15:668–677PubMedGoogle Scholar
  30. 30.
    Chiedozi LC (1979) Pyomyositis. Review of 205 cases in 112 patients. Am J Surg 137:255–259CrossRefPubMedGoogle Scholar
  31. 31.
    Belli L, Reggiori A, Cocozza E, Riboldi L (1992) Ultrasound in tropical pyomyositis. Skeletal Radiol 21:107–109CrossRefPubMedGoogle Scholar
  32. 32.
    Brook I (1996) Pyomyositis in children, caused by anaerobic bacteria. J Pediatr Surg 31:394–396CrossRefPubMedGoogle Scholar
  33. 33.
    Lim-Dunham JE, Ben-Ami TE, Yousefzadeh DK (1995) Septic arthritis of the elbow in children: the role of sonography. Pediatr Radiol 25:556–559CrossRefPubMedGoogle Scholar
  34. 34.
    Kocher MS, Zurakowski D, Kasser JR (1999) Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. J Bone Joint Surg Am 81:1662–1670PubMedGoogle Scholar
  35. 35.
    van Holsbeeck M, Introcaso JH (1992) Musculoskeletal ultrasonography. Radiol Clin North Am 30:907–925PubMedGoogle Scholar
  36. 36.
    Zawin JK, Hoffer FA, Rand FF, Teele RL (1993) Joint effusion in children with an irritable hip: US diagnosis and aspiration. Radiology 187:459–463PubMedGoogle Scholar
  37. 37.
    Gordon JE, Huang M, Dobbs M et al (2002) Causes of falsenegative ultrasound scans in the diagnosis of septic arthritis of the hip in children. J Pediatr Orthop 22:312–316CrossRefPubMedGoogle Scholar
  38. 38.
    Dorr U, Zieger M, Hauke H (1988) Ultrasonography of the painful hip. Prospective studies in 204 patients. Pediatr Radiol 19:36–40CrossRefPubMedGoogle Scholar
  39. 39.
    Robben SG, Lequin MH, Diepstraten AF et al (1999) Anterior joint capsule of the normal hip and in children with transient synovitis: US study with anatomic and histologic correlation. Radiology 210:499–507PubMedGoogle Scholar
  40. 40.
    Marchal GJ, Van Holsbeeck MT, Raes M et al (1987) Transient synovitis of the hip in children: role of US. Radiology 162:825–828PubMedGoogle Scholar
  41. 41.
    Strouse PJ, DiPietro MA, Adler RS (1998) Pediatric hip effusions: evaluation with power Doppler sonography. Radiology 206:731–735PubMedGoogle Scholar
  42. 42.
    Greenspan A, Tehranzadeh J (2001) Imaging of infectious arthritis. Radiol Clin North Am 39:267–276CrossRefPubMedGoogle Scholar
  43. 43.
    Hopkins KL, Li KC, Bergman G (1995) Gadolinium-DTPA-enhanced magnetic resonance imaging of musculoskeletal infectious processes. Skeletal Radiol 24:325–330CrossRefPubMedGoogle Scholar
  44. 44.
    Paisley JW (1982) Septic bursitis in childhood. J Pediatr Orthop 2:57–61PubMedGoogle Scholar
  45. 45.
    Harwell JI, Fisher D (2001) Pediatric septic bursitis: case report of retrocalcaneal infection and review of the literature. Clin Infect Dis 32 El02–104CrossRefGoogle Scholar
  46. 46.
    Garcia-Porrua C, Gonzalez-Gay MA, Ibanez D, Garcia-Pais MJ (1999) The clinical spectrum of severe septic bursitis in northwestern Spain: a 10 year study. J Rheumatol 26:663–667PubMedGoogle Scholar
  47. 47.
    Hill R, Conron R, Greissinger P, Heller M (1997) Ultrasound for the detection of foreign bodies in human tissue. Ann Emerg Med 29:353–356CrossRefPubMedGoogle Scholar
  48. 48.
    Roberts CS, Beck DJ Jr, Heinsen J, Seligson D (2002) Review article: diagnostic ultrasonography: applications in orthopaedic surgery. Clin Orthop 401:248–264CrossRefPubMedGoogle Scholar
  49. 49.
    Laor T, Jaramillo D, Oestreich AE (1998) Transplacentally acquired infections. In: Kirks DR, Griscom NT (eds) Practical pediatric imaging, 3rd edn. Lippincot-Raven, Philadelphia, p 381Google Scholar
  50. 50.
    Aebi C, Ahmed A, Ramilo O (1996) Bacterial complications of primary varicella in children. Clin Infect Dis 23:698–705PubMedGoogle Scholar
  51. 51.
    Cowan MR, Primm PA, Scott SM et al (1994) Serious group A beta-hemolytic streptococcal infections complicating varicella. Ann Emerg Med 23:818–822CrossRefPubMedGoogle Scholar
  52. 52.
    Mills WJ, Mosca VS, Nizet V (1996) Orthopaedic manifestations of invasive group A streptococcal infections complicating primary varicella. J Pediatr Orthop 16:522–528PubMedGoogle Scholar
  53. 53.
    Brown T, Wilkinson RH (1988) Chronic recurrent multifocal osteomyelitis. Radiology 166:493–496PubMedGoogle Scholar
  54. 54.
    Giedion A, Holthusen W, Masel LF, Vischer D (1972) Subacute and chronic “symmetrical” osteomyelitis. Ann Radiol (Paris) 15:329–342 [French]Google Scholar
  55. 55.
    Job-Deslandre C, Krebs S, Kahan A (2001) Chronic recurrent multifocal osteomyelitis: five-year outcomes in 14 pediatric cases. Joint Bone Spine 68:245–251CrossRefPubMedGoogle Scholar
  56. 56.
    Swischuk E (1997) Infections of the spine and spinal cord. In: Imaging of the newborn, infant, and young child. 4th edn. Williams & Wilkins, Baltimore, p 1044Google Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Simon G. F. Robben
    • 1
  1. 1.Department of RadiologyMaastricht University Medical CentreMaastrichtThe Netherlands

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