{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:08:32Z","timestamp":1740164912468,"version":"3.37.3"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Osteomyelitis of clavicle is rare in neonates. Acute osteomyelitis of clavicle accounts for less than 3% of all osteomyelitis cases. It may occur due to contiguous spread, due to hematogenous spread, or secondary to subclavian catheterization. Chronic osteomyelitis may occur as a complication of residual adjoining abscess due to methicillin resistant staphylococcus aureus (MRSA) sepsis. We report a newborn female with right shoulder abscess that developed chronic clavicular osteomyelitis in follow-up period after drainage. She required multiple drainage procedures and was later successfully managed with bone curettage and debridement. We report this case to highlight that a MRSA abscess may recur due to residual infection from a chronic osteomyelitis sinus. It may be misdiagnosed as hypergranulation tissue of nonhealing wound leading to inappropriate delay in treatment. High index of suspicion, aggressive initial management, and regular follow-up are imperative to prevent this morbid complication.<\/jats:p>","DOI":"10.1155\/2016\/3032518","type":"journal-article","created":{"date-parts":[[2016,3,9]],"date-time":"2016-03-09T02:18:53Z","timestamp":1457489933000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess"],"prefix":"10.1155","volume":"2016","author":[{"given":"Shishir Murugharaj","family":"Suranigi","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4551-8279","authenticated-orcid":true,"given":"Manoj","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal Noel","family":"Deniese","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanagasabai","family":"Rangasamy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Najimudeen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"Gnanadoss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry 605014, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"5","key":"1","first-page":"846","volume":"72","year":"1990","journal-title":"The Journal of Bone & Joint Surgery\u2014British Volume"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-015-0163-1"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/00004694-199707000-00011"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2013.09.030"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(04)16727-5"},{"issue":"6","key":"6","first-page":"969","volume":"76","year":"1994","journal-title":"The Journal of Bone & Joint Surgery\u2014British Volume"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1025302"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.3201\/eid0702.010204"},{"issue":"1","key":"9","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1891\/0730-0832.21.1.9","volume":"21","year":"2002","journal-title":"Neonatal Network"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-23-01-29"}],"container-title":["Case Reports in Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripe\/2016\/3032518.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripe\/2016\/3032518.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cripe\/2016\/3032518.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,24]],"date-time":"2017-06-24T03:57:37Z","timestamp":1498276657000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cripe\/2016\/3032518\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":10,"alternative-id":["3032518","3032518"],"URL":"https:\/\/doi.org\/10.1155\/2016\/3032518","relation":{},"ISSN":["2090-6803","2090-6811"],"issn-type":[{"type":"print","value":"2090-6803"},{"type":"electronic","value":"2090-6811"}],"subject":[],"published":{"date-parts":[[2016]]}}}