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Papers of the Week

2023 Feb 09

Arch Argent Pediatr

Primary sternal osteomyelitis.


Rodríguez Lorenzo P, Fernández Martínez B, Pérez Alba M, Ramírez Jaén C, Meana Morís AR, Pérez Méndez C
Arch Argent Pediatr. 2023 Feb 09:e202201449.
PMID: 36724129.


Primary sternal osteomyelitis is very rare in children, with less than 100 cases published to date. Its clinical presentation is often non-specific, which results in a diagnostic delay. Here we describe 2 new cases of primary sternal osteomyelitis. Both referred fever, malaise, chest pain, and refusal to lie down, with pre-sternal erythema in one of the cases. The erythrocyte sedimentation rate and C-reactive protein values were high in both cases. The diagnosis was confirmed by imaging studies; methicillin-sensitive Staphylococcus aureus was isolated in the blood culture of one of them. Both recovered without complications with antibiotic treatment. Primary sternal osteomyelitis should be considered in the differential diagnosis of chest pain, especially if accompanied by fever, local inflammatory signs, intolerance to lying down, or increased acute phase reactants.