An etiologic shift in infantile osteomyelitis: The emergence of the group B streptococcus

摘要: Twenty-one infants from six to 52 days of age (mean 23.3 days) with osteomyelitis were studied between 1965 and 1977. The etiologic agents group B streptococcus (8), Staphylococcus aureus (6), gramnegative bacilli (4), Streptococcus pneumoniae (1), unknown (2). Patients streptococcal characterized by an uncomplicated neonatal course, single bone involvement a predilection for the proximal humerus, lack inflammatory signs. In contrast, patients due other organisms frequently had manipulative procedures predisposing infection more likely have multiple involvement, fever, leukocytosis at time diagnosis. Functional impairment was detected in only one 17 evaluated mean 36 months after