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

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

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Osteomyelitis of clavicle is rare in neonates.Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases.It may occur due here 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 click here 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.