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CASE REPORT
A rare case of osteomyelitis of the clavicle in a child due to Group A streptococcal infection
  1. Molla Imaduddin Ahmed1,2,
  2. Muhammad Nadeem1 and
  3. Srini Bandi1
  1. 1 Paediatrics, University Hospitals of Leicester, Leicester, UK
  2. 2 Infection, Immunity and Inflammation, University of Leicester, Leicester, UK
  1. Correspondence to Dr Molla Imaduddin Ahmed, drahmed38{at}gmail.com

Abstract

Acute osteomyelitis of the clavicle is rare in the paediatric age group. We treated a 5-year-old boy who presented initially with fever and left shoulder pain, and subsequently developed swelling in the region of the left clavicle. Group A Streptococcus (GAS) was isolated in blood culture. MRI of the clavicle showed osteomyelitis of the medial clavicle. The child had incision and drainage of his clavicular collection. The child received intravenous benzylpenicillin and oral cephalexin in the initial presentation; he was treated with 2 weeks of intravenous ceftriaxone and 4 weeks of oral penicillin thereafter with the resolution of his symptoms. There are no previous case reports of osteomyelitis of the clavicle in children caused by GAS. This case highlights the importance of identifying the microbial aetiology in these children to ensure early initiation of treatment with appropriate antibiotics.

  • bone and joint infections
  • paediatrics

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Footnotes

  • Contributors MIA was involved in drafting,revising and conception of the manuscript. MN participated in drafting of the manuscript. SB participated in revising and conception of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.