Primary sternal osteomyelitis: A case series and review of the literature

Abstract

Purpose: Primary sternal osteomyelitis is rare in the pediatric population. Methods: We present 4 recent cases that demonstrate a wide range in age, presenting features, and clinical course, and we performed a literature review. Result: A combination of diagnostic aspiration with prolonged appropriate antibiotic therapy led to successful resolution in all cases. Surgical debridement should be reserved for cases that do not respond to medical therapy. Conclusion: Sternal osteomyelitis is a rare condition in children that usually resolves with aspiration and prolonged antibiotic therapy. © 2005 Elsevier Inc. All rights reserved.