Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 23164
  Title Chronic recurrent multifocal osteomyelitis in a 13 year old female athlete: A case report [case report]
Journal J Can Chiropr Assoc. 2013 Dec;57(4):334–340
Peer Review Yes
Publication Type Case Report
Chronic recurrent mutlifocal osteomyelitis (CRMO) is an extremely rare skeletal disorder in the younger population. It presents with multifocal bony lesions that often mimic more sinister diagnoses such as infection or neoplasm. The cause of this condition remains unknown and there is limited evidence on effective treatments. In this case, a 13-year-old female athlete presented to a sports chiropractic clinic with non-traumatic onset of right ankle pain. After failed conservative management, radiographs and MRI were obtained exhibiting a bony lesion of the distal tibia resembling osteomyelitis. The patient was non-responsive to antibiotics, which lead to the diagnosis of CRMO. CRMO should be considered as a differential diagnosis for chronic bone pain with affinity for the long bones of the lower extremity in children and adolescents. The role of the primary clinician in cases of CRMO is primarily that of recognition and referral for further diagnostic investigations.

L’ostéomyélite multifocale chronique récurrente (OMCR) est une maladie du squelette extrêmement rare qui touche les jeunes. Elle présente des lésions osseuses multifocales qui imitent souvent des diagnostics plus sinistres tels qu’une infection ou une tumeur. La cause de cette maladie reste inconnue et il y a peu de preuves sur les traitements efficaces. Dans ce cas, une athlète de 13 ans s’est présentée à une clinique chiropratique sportive avec l’apparition non traumatique de douleurs à la cheville droite. Après l’échec des traitements conservateurs, les radiographies et l’IRM ont montré une lésion osseuse du tibia distal ressemblant à une ostéomyélite. Comme les antibiotiques n’agissaient pas sur la patiente, on en conclut qu’elle souffrait d’une OMCR. L’OMCR doit être considérée comme un diagnostic différentiel des douleurs osseuses chroniques, surtout des os longs des membres inférieurs chez les enfants et les adolescents. Le rôle du médecin traitant en cas d’OMCR est de la reconnaître surtout et de renvoyer le patient pour des tests diagnostics avancés. 

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