{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:25:35Z","timestamp":1777944335930,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T00:00:00Z","timestamp":1752192000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Neonatal osteomyelitis is rare, and rib involvement is even more uncommon. Early diagnosis is challenging due to nonspecific clinical signs and the limitations of conventional imaging methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe a case of neonatal rib osteomyelitis and highlight the diagnostic utility of point-of-care ultrasound in its early detection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A case of a 25-week preterm neonate with a localized thoracic swelling was investigated. Diagnosis was made using point-of-care ultrasound, which identified a fluid collection and cortical disruption, while radiography showed no abnormalities. A review of the literature was conducted to compare findings with other reported cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The neonate was diagnosed with rib osteomyelitis caused by Staphylococcus aureus and treated with a 6-week course of targeted antibiotics. The infant made a full recovery. A literature review revealed three other cases of neonatal rib osteomyelitis, all associated with S. aureus, with localized swelling as the primary clinical symptom. Imaging results varied, with ultrasound proving to be more sensitive than radiography in early detection. None of the cases underwent magnetic resonance imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Neonatal rib osteomyelitis, though extremely rare, should be considered in neonates presenting with localized chest wall abnormalities. Point-of-care ultrasound is a valuable diagnostic tool, enabling early detection and potentially improving outcomes through timely intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1742271x251353711","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T12:53:17Z","timestamp":1752238397000},"page":"342-346","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Point-of-care ultrasound and neonatal rib osteomyelitis: A case report and literature review"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8811-2926","authenticated-orcid":false,"given":"Madalena","family":"Fonseca","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Pediatria, Departamento de Pediatria, Hospital de Santa Maria, ULSSM, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Lob\u00e3o Correia","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00eas","family":"Girbal","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Neonatologia, Departamento de Pediatria, Hospital de Santa Maria, ULSSM, Lisbon, Portugal"},{"name":"Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00edsa","family":"Lobo","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Imagiologia, Hospital de Santa Maria, ULSSM, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarida","family":"Abrantes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Neonatologia, Departamento de Pediatria, Hospital de Santa Maria, ULSSM, Lisbon, Portugal"},{"name":"Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Berenguer","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Neonatologia, Departamento de Pediatria, Hospital de Santa Maria, ULSSM, Lisbon, Portugal"},{"name":"Cl\u00ednica Universit\u00e1ria de Pediatria, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-006-1725-5"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2016-216933"},{"issue":"1","key":"e_1_3_3_4_2","article-title":"A rare full-term newborn case of rib osteomyelitis with suspected preceding fracture","volume":"6","author":"Ono S","year":"2016","unstructured":"Ono S, Fujimoto H, Kawamoto Y. A rare full-term newborn case of rib osteomyelitis with suspected preceding fracture. AJP Rep 2016; 6(1): e104\u2013e107.","journal-title":"AJP Rep"},{"key":"e_1_3_3_5_2","first-page":"110","article-title":"A rare preterm newborn case of rib osteomyelitis with intrathoracic involvement","volume":"8","author":"Khatami SF","year":"2017","unstructured":"Khatami SF. A rare preterm newborn case of rib osteomyelitis with intrathoracic involvement. Iran J Neonatol 2017; 8: 110\u2013114.","journal-title":"Iran J Neonatol"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e318266ebe8"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B5.2211769"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000014129"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.07.031"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2019.03.036"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s42399-023-01413-3"}],"container-title":["Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X251353711","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1742271X251353711","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1742271X251353711","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:52:11Z","timestamp":1777708331000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1742271X251353711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,11]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/1742271X251353711"],"URL":"https:\/\/doi.org\/10.1177\/1742271x251353711","relation":{},"ISSN":["1742-271X","1743-1344"],"issn-type":[{"value":"1742-271X","type":"print"},{"value":"1743-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,11]]}}}