Subperiosteal abscess in pediatric acute osteomyelitis: ultrasound-guided percutaneous aspiration in three cases.
Gonzalo Corral
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Case in brief
Three pediatric patients with acute osteomyelitis developed subperiosteal abscesses, traditionally treated with surgical drainage. Ultrasound revealed abscesses measuring 4-7 mm, with no significant intraosseous involvement. They underwent ultrasound-guided percutaneous aspiration, yielding purulent material positive for methicillin-sensitive Staphylococcus aureus. All patients experienced rapid clinical improvement within 24-48 hours, with no complications or need for further surgical intervention.
Diagnostic / clinical pearl
Ultrasound-guided percutaneous aspiration can be an effective, minimally invasive treatment for subperiosteal abscesses in pediatric patients with acute osteomyelitis.
Why it matters
This approach may reduce the need for more invasive surgical procedures, highlighting the importance of considering ultrasound guidance in similar cases.