Evidence map›Paper›PMID 34895166›Full record

ReviewBMC pediatrics2021

Osteomyelitis in Immunocompromised children and neonates, a case series.

Bryan Foong, Kenneth Pak Leung Wong, Carolin Joseph Jeyanthi, Jiahui Li, Kevin Boon Leong Lim, Natalie Woon Hui Tan

Open access · goldAbstract readReview
In one paragraph

Review in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Murine models of orthopedic infection featuringJournal of bone and joint infection · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Bryan FoongSingapore General Hospital, Singapore, Singapore. bryanfoongcm@gmail.com.ORCID 0000-0003-3919-8109
Kenneth Pak Leung WongDepartment of Orthopedic Surgery, KK Women's and Children's Hospital, Singapore, Singapore.
Carolin Joseph JeyanthiYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jiahui LiYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Kevin Boon Leong LimDepartment of Orthopedic Surgery, KK Women's and Children's Hospital, Singapore, Singapore.
Natalie Woon Hui TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
National University of Singapore · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteomyelitis in immunocompromised children can present differently from immunocompetent children and can cause devastating sequelae if treated inadequately. We aim to review the aetiology, clinical profile, treatment and outcomes of immunocompromised children with osteomyelitis.

methodsRetrospective review of all immunocompromised children aged < 16 years and neonates admitted with osteomyelitis in our hospital between January 2000 and January 2017, and referred to the Paediatric Infectious Disease Service.

resultsFourteen patients were identified. There were 10 boys (71%), and the median age at admission was 70.5 months (inter-quartile range: 12.3-135.0 months). Causal organisms included, two were Staphylococcus aureus, two were Mycobacterium bovis (BCG), and one each was Mycobacterium tuberculosis, Pseudomonas aeruginosa, Stenotrophomonas maltophilia, Burkholderia pseudomallei and Rhizopus sp. One patient had both Clostridium tertium and Clostridium difficile isolated. Treatment involved appropriate antimicrobials for a duration ranging from 6 weeks to 1 year, and surgery in 11 patients (79%). Wherever possible, the patients received treatment for their underlying immunodeficiency. For outcomes, only three patients (21%) recovered completely. Five patients (36%) had poor bone growth, one patient had recurrent discharge from the bone and one patient had palliative care for underlying osteosarcoma.

conclusionsAlthough uncommon, osteomyelitis in immunocompromised children and neonates can be caused by unusual pathogens, and can occur with devastating effects. Treatment involves prolonged administration of antibiotics and surgery. Immune recovery also seems to be an important factor in bone healing.

Indexed as

Mycobacterium bovisMycobacterium tuberculosisOsteomyelitisAnti-Bacterial AgentsChildHumansInfant, NewbornMaleRetrospective StudiesAnti-Bacterial AgentsImmunocompromised childrenNeonatesOsteomyelitis

Identifiers

PMID34895166
PMCPMC8665553
OpenAlexW4200327537

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.