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The patient presented with a subtle, indolent course leading to a suspected 2-year delay in diagnosis. This case highlights that the diagnosis of rib osteomyelitis, which can readily mimic other diagnoses, such as costochondritis, intraabdominal infections, pneumonia, or malignancies warrants a high index of suspicion. Albeit rare, pediatricians should be aware of the possibility of rib osteomyelitis in healthy children to help ensure a prompt diagnosis and appropriate, timely management.<\/jats:p>","DOI":"10.1177\/2333794x221086583","type":"journal-article","created":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T02:01:03Z","timestamp":1649210463000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Osteomyelitis of the Rib in a Child With Indolent Symptoms"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5229-2808","authenticated-orcid":false,"given":"Archana","family":"Balamohan","sequence":"first","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert F.","family":"Buchmann","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Arkansas Children\u2019s Hospital, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,5]]},"reference":[{"key":"bibr1-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-8-45."},{"key":"bibr2-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1402234"},{"key":"bibr3-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e318266ebe8"},{"key":"bibr4-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200501000-00010"},{"key":"bibr5-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197961040-00025"},{"key":"bibr6-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1007\/BF00971772"},{"key":"bibr7-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1136\/thx.41.1.58"},{"key":"bibr8-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2004.06.033"},{"key":"bibr9-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.204"},{"key":"bibr10-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-019-04505-2"},{"key":"bibr11-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5365.1128-c"},{"key":"bibr12-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200110000-00019"},{"key":"bibr13-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1080\/00365540310012262"},{"issue":"12","key":"bibr14-2333794X221086583","first-page":"899","volume":"130","author":"Kamran D","year":"1982","journal-title":"Monatsschr Kinderheilkd"},{"key":"bibr15-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3468(98)90216-0"},{"issue":"1","key":"bibr16-2333794X221086583","first-page":"26","volume":"97","author":"Chen SC","year":"1998","journal-title":"J Formos Med Assoc"},{"key":"bibr17-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1186\/1476-0711-4-4."},{"key":"bibr18-2333794X221086583","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2005.07.006"}],"container-title":["Global Pediatric Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333794X221086583","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2333794X221086583","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2333794X221086583","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:07:48Z","timestamp":1777446468000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2333794X221086583"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":18,"alternative-id":["10.1177\/2333794X221086583"],"URL":"https:\/\/doi.org\/10.1177\/2333794x221086583","relation":{},"ISSN":["2333-794X","2333-794X"],"issn-type":[{"value":"2333-794X","type":"print"},{"value":"2333-794X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"2333794X221086583"}}