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Case Reports in Pediatrics
Volume 2016, Article ID 3032518, 3 pages
http://dx.doi.org/10.1155/2016/3032518
Case Report

Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess

1Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India
2Department of Pediatric Surgery, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India

Received 27 January 2016; Accepted 18 February 2016

Academic Editor: Nan-Chang Chiu

Copyright © 2016 Shishir Murugharaj Suranigi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Osteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of residual adjoining abscess due to methicillin resistant staphylococcus aureus (MRSA) sepsis. We report a newborn female with right shoulder abscess that developed chronic clavicular osteomyelitis in follow-up period after drainage. She required multiple drainage procedures and was later successfully managed with bone curettage and debridement. We report this case to highlight that a MRSA abscess may recur due to residual infection from a chronic osteomyelitis sinus. It may be misdiagnosed as hypergranulation tissue of nonhealing wound leading to inappropriate delay in treatment. High index of suspicion, aggressive initial management, and regular follow-up are imperative to prevent this morbid complication.