The association of septic thrombophlebitis with subperiosteal abscesses in children.

摘要: An association of septic thrombophlebitis with acute osteomyelitis in four children is described. Each patient presented physical findings consistent thrombophlebitis. Venography, done two, demonstrated significant thrombophlebitis, and another had an infected venous cutdown. A subperiosteal abscess was the predominant bony involvement found all three patients who underwent surgical drainage. The initial radiographs were normal each case. Bone scans showed diffuse increase activity extremity, hyperemia, but no focal areas increased uptake to suggest osteomyelitis. Computerized tomography, two patients, failed reveal any abnormality, although abscesses drained within 48 hours study. existence reverse collateral flow through bone, associated a rise intramedullary pressure, may be responsible for these findings.