Osteomyelitis of the Patella in a 10-Year-Old Girl: A Case Report and Review of the Literature

Table 1

Literature review including information about treatment and cultures of pediatric patients with osteomyelitis of the patella.

Author	Cases	Treatment	Culture
Gil-Albarova et al., 2012 [2]	1 girl	Debridement and curettage; 10 days of i.v. cefotaxime/cloxacillin → 2 weeks of oral cloxacillin	Staph. aureus
De Gheldere, 2009 [4]	1 boy	Joint and patella aspiration; 10 days of i.v. rifampicin and cloxacillin → 6 weeks of rifampicin and clindamycin orally	Staph. aureus
Choi, 2007 [1]	2 boys	Curettage and i.v. cefazedone followed by oral antibiotics	Case I: negative; Case II: Staph. aureus
Masuda et al., 1999 [5]	1 boy	Curettage; one week of cefuroxadine → cefmetazole and cefuroxadine for 2 months	Negative
Moyikoua et al., 1993 [6]	1 boy	Gentamicin for 3 weeks	N/A
Roy et al., 1991 [7]	2 girls; 2 boys	Case I: antibiotics → incision and drainage; Case II: antibiotics → arthroscopy and incision of the patella; Case III: incision, debridement, and drainage; Case IV: incision, debridement	3x Staph. aureus⁢; 1x Clostridium bifermentans
Papavasiliou and Sferopoulos, 1989 [8]	1 girl; 2 boys	Curettage and lavage, parenteral antibiotic treatment	Staph. aureus in all cases
Cahill, 1978 [9]	2 boys	Case I: antibiotics → curettage and parenteral antibiotics; Case II: initial treatment with antibiotics, exploration of the knee and inflow-outflow cefalotin irrigation tubes, and cefalotin for another 5 days.	Case I: gram positive cocci; Case II: negative
Vaninbroukx et al., 1976 [10]	1 girl; 2 boys	Case I: sequestrectomy, arthrotomy, and parenteral antibiotics; Case II: initial treatment with antibiotics → sequestrectomy and parenteral antibiotics; Case III: antibiotics → curettage	Case I: N/A; Case II: negative; Case III: N/A
Kochhar and Srivastava, 1976 [11]	1 child; (4 adults)	Antibiotic treatment in all cases, three patients underwent patellectomy	Staph. aureus in all cases
Wadlington et al., 1971 [12]	1 boy	Antibiotics: penicillin, methicillin, colistin, and gentamicin	Pseudomonas aeruginosa
Angella, 1967 [13]	1 girl; 1 boy	Case I: initial treatment with antibiotics → curettage, parenteral antibiotics; Case II: 28 days of parenteral antibiotics, aspiration of the knee joint two times	Case I: Staph. aureus⁢; Case II: negative
Evans, 1962 [14]	2 girls; 2 boys; (1 adult)	Case I: antibiotics; Case II: antibiotics (knee aspiration); Case III: removal of a sequestrum; Case IV: penicillin for 4 weeks, removal of a sequestrum	Case I: none; Case II: Staph. aureus⁢; Case III: none; Case IV: Staph. aureus
Schafer, 1952 [15]	1 boy	Initial treatment with antibiotics → arthrotomy → antibiotics	Staphylococcus