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July 1980

Streptococcal Neonatal Osteomyelitis

Author Affiliations

Children's Hospital 250 W 59th Ave Vancouver, British Columbia Canada V5X 1X2

Am J Dis Child. 1980;134(7):711. doi:10.1001/archpedi.1980.02130190077025

To the Editor.—Memon et al in a recent issue of the Journal (133:921-923, 1979) emphasized the increasing importance of group B streptococcal neonatal osteomyelitis. Reviewing 23 published cases, they found infection most frequently in the humerus or femur, and occasionally in the talus or tibia. Earlier reports1 had suggested almost exclusive involvement of the humerus. We recently encountered a case with infection in a previously undescribed location that caused us diagnostic problems.

Report of a Case.—This previously healthy boy was noticed at 13 days of age to be favoring his right leg, holding it flexed at the hip. Two days later fever and irritability developed.

On admission to the hospital, he was febrile (37.7 °C) and irritable, and held his right hip flexed and slightly rotated externally. Movement of the hip obviously caused pain, although the passive range of motion was not limited. An area of cellulitis