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  • Title: Primary epiphyseal osteomyelitis in children. Report of three cases and review of the literature.
    Author: Sorensen TS, Hedeboe J, Christensen ER.
    Journal: J Bone Joint Surg Br; 1988 Nov; 70(5):818-20. PubMed ID: 3056947.
    Abstract:
    In the literature 21 children have been reported with haematogenous osteomyelitis involving only the epiphyses of long bones; in 20 the epiphyses of the knee were involved and the radiographs showed a lytic lesion. Most patients gave a history of pain, limp or refusal to walk for weeks or months without general illness. The erythrocyte sedimentation rate and white cell count were of little diagnostic value, but a bone scan was usually positive. All the patients were cured by antibiotics alone or in combination with curettage.
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