Concurrent Hematogenous Osteomyelitis, Deep Vein Thrombosis, and Septic Pulmonary Embolism in an Adolescent Male: A Rare Presentation

This case report describes a rare presentation of simultaneous hematogenous osteomyelitis, deep vein thrombosis (DVT), and septic pulmonary embolism in a 13-year-old male adolescent. While pediatric osteomyelitis is relatively common, the combination of venous thrombosis and pulmonary embolism is infrequently reported. Despite receiving antibacterial and antithrombotic treatment, the patient did not show any significant improvement. An MRI led to the diagnosis of osteomyelitis, and surgical intervention was performed. Post-surgery, the patient's clinical condition improved, enabling the removal of artificial ventilation and discharge from the clinic. The patient successfully returned to normal life with no neurological changes. This report highlights the need for timely diagnostic interventions and a comprehensive and collaborative approach to managing rare pediatric conditions. Raising awareness about such rare combinations is important to reduce the risk of complications in pediatric patients.

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Publication Details

Journal
Cureus
Published
2025-03-04
DOI
https://doi.org/10.7759/cureus.80057
Primary Topic
Orthopedic Infections and Treatments
Type
article
Field-Weighted Citation Impact
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Concurrent Hematogenous Osteomyelitis, Deep Vein Thrombosis, and Septic Pulmonary Embolism in an Adolescent Male: A Rare Presentation

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Concurrent Hematogenous Osteomyelitis, Deep Vein Thrombosis, and Septic Pulmonary Embolism in an Adolescent Male: A Rare Presentation

Ia Khurtsilava, Darejan Kanjaradze, Irakli Darsania, Natia Tsirdava, Tistsino Parulava, Ekaterine Gozalishvili
article en

Abstract

This case report describes a rare presentation of simultaneous hematogenous osteomyelitis, deep vein thrombosis (DVT), and septic pulmonary embolism in a 13-year-old male adolescent. While pediatric osteomyelitis is relatively common, the combination of venous thrombosis and pulmonary embolism is infrequently reported. Despite receiving antibacterial and antithrombotic treatment, the patient did not show any significant improvement. An MRI led to the diagnosis of osteomyelitis, and surgical intervention was performed. Post-surgery, the patient's clinical condition improved, enabling the removal of artificial ventilation and discharge from the clinic. The patient successfully returned to normal life with no neurological changes. This report highlights the need for timely diagnostic interventions and a comprehensive and collaborative approach to managing rare pediatric conditions. Raising awareness about such rare combinations is important to reduce the risk of complications in pediatric patients.

CureusVol. 17(3)
Tbilisi State University (GE), Petre Shotadze Tbilisi Medical Academy (GE), Tbilisi State Medical University (GE)
Zero hunger
Openalex Percentile: Top 93%
Orthopedic Infections and Treatments
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