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Salus
versão impressa ISSN 1316-7138
Resumo
LOPEZ CALDERON, Minijay e SALAS G, Ruth M. Deep venous thrombosis associated with acute osteomyelitis. Salus [online]. 2017, vol.21, n.1, pp.30-36. ISSN 1316-7138.
Acute osteomyelitis (AOM) is defined as an inflammation of the bone caused by an infection. Complications of acute osteomyelitis (AOM) include deep vein thrombosis (DVT), associated with Staphylococcus aureus (S. aureus) infections; especially strains of S. aureus meticilin resistant (SAMR) and producers of leucocidin Panton-Valentine (LPV). This case occurred in a 2-year old female preschooler with skin injury and major phlogosis in left lower limb. Doppler sonography revealed extensive thrombosis of the left common femoral vein and left popliteal vein, with no major positive history for this disease, associated to sepsis and subsequently left tibia osteomyelitis. Methicillin-resistant Staphylococcus aureus (MRSA) was isolated in culture. Normal clotting, metabolic and immunological test results. Consequently, when soft and bone tissue injuries are present in children it is important to consider the possibility of a DVT diagnosis, especially when suggestive signs and symptoms are present, such as S. aureus. A timely diagnosis will prevent further complications. Long-term multidisciplinary monitoring of the patient is recommened.
Palavras-chave : Deep vein thrombosis; inpediatrics; osteomyelitis; Staphylococcus aureus.