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DOI: 10.1055/s-0041-1739262
Pediatric Sciatic Neuropathy Secondary to Subacute Ischial Osteomyelitis: A Case Report
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Abstract
Sciatic neuropathy (SN) is rarely encountered in the pediatric population. The causes of this mononeuropathy are either infectious, immune mediated, toxic, or infiltrative (tumoral). In this article, we presented the case of a 7.5-year-old male child who presented to the emergency department with a painful right lower limb. Magnetic resonance imaging confirmed the diagnosis of subacute osteomyelitis of the ischium, which extended toward the external hip rotators and infiltrated the tissues around the sciatic nerve. Treatment with intravenous antibiotics (flucloxacillin 50 mg/kg/d and gentamicin 10 mg/kg/d) rapidly improved the child's condition and relieved neurological symptoms within a few days. Traumatic and iatrogenic injuries are the most common causes for SN. To our knowledge, this presented case is the first to describe SN due to an infectious process following subacute osteomyelitis.
Publication History
Received: 02 September 2021
Accepted: 05 October 2021
Article published online:
16 November 2021
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References
- 1 Jones Jr HR, Gianturco LE, Gross PT, Buchhalter J. Sciatic neuropathies in childhood: a report of ten cases and review of the literature. J Child Neurol 1988; 3 (03) 193-199
- 2 Srinivasan J, Ryan MM, Escolar DM, Darras B, Jones HR. Pediatric sciatic neuropathies: a 30-year prospective study. Neurology 2011; 76 (11) 976-980
- 3 Prasad M, Babiker M, Rao G, Rittey C. Pediatric sciatic neuropathy presenting as painful leg: a case report and review of literature. J Pediatr Neurosci 2013; 8 (02) 161-164
- 4 de Freitas MRG. Infectious neuropathy. Curr Opin Neurol 2007; 20 (05) 548-552
- 5 King DM, Mayo KM. Subacute haematogenous osteomyelitis. J Bone Joint Surg Br 1969; 51 (03) 458-463