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  • Title: Lytic rib lesion in a 1-year-old child: group A beta streptococcal osteomyelitis mimicking tumor.
    Author: Naik-Mathuria B, Ng G, Olutoye OO.
    Journal: Pediatr Surg Int; 2006 Oct; 22(10):837-9. PubMed ID: 16896820.
    Abstract:
    Pediatric osteomyelitis commonly occurs in the long bones and has rarely been reported in small bones such as the vertebrae and ribs. Rib osteomyelitis occurs in approximately 1% or less of all cases of hematogenous osteomyelitis, and is usually caused by Staphylococcus aureus. We present a case of acute osteomyelitis in the rib of an otherwise healthy and afebrile 1-year-old infant that appeared as a lytic bone lesion on imaging studies and was mistaken for a tumor. Biopsy was needed to rule out malignancy and establish the diagnosis of osteomyelitis caused by group A Streptococcus. This is one of the few reported cases of pediatric rib osteomyelitis caused by this organism.
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