{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:57:43Z","timestamp":1775473063784,"version":"3.50.1"},"reference-count":23,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2019,9,22]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;Reporting on an atypical case of a three-year-old patient affected by osteomyelitis of the distal radius, completely healed without antibiotic therapy. &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;The clinical case is related to a three-year-old patient, whose clinical picture began with fever, pain and swelling of the right wrist. After three days, fever and swelling disappeared, but pain persisted. Plain x-rays of the right wrist, hematologic analyses, magnetic resonance imaging (MRI) with contrast medium and biopsy were performed in order to make a differential diagnosis between acute osteomyelitis and a malignant neoplasm, i.e. Ewing&amp;#039;s sarcoma. &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;The plain x-rays of the right wrist showed an osteolytic area of the distal radio, with blurred rim. Haematology showed high erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP); MRI confirmed the presence of a lesion, of no certain origin, therefore a biopsy was done. The histology was that of an inflammatory tissue. The patient, after the biopsy, was completely asymptomatic, ESR and CRP were back to normal. Before starting antibiotic therapy, it was preferred repeating x-rays. From the latter, the osteolysis completely disappeared. On the basis of the x-rays, blood exam and symptomatology, it was decided not to submit the patient to any treatment. After two years, the patient never had similar episodes. &amp;lt;strong&amp;gt;Conclusion&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Patient presented with all characteristics of an osteomyelitis of distal radius, was unexpectedly spontaneously healed, without antibiotic therapy. Two years after the onset of the disease the patient recovered without clinical and radiographic sequelae. No similar cases are found in the literature .&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1070-20","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"178-181","source":"Crossref","is-referenced-by-count":0,"title":["Transient osteomyelitis of the distal radius in a three-year-old patient"],"prefix":"10.17392","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3669-189X","authenticated-orcid":false,"given":"Giuseppe","family":"Rinonapoli","sequence":"first","affiliation":[{"name":"University of Perugia, \u201cS. Maria della Misericordia\u201d Hospital","place":["Perugia,Italy"],"department":["Division of Orthopaedics and Trauma Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Bisaccia","sequence":"additional","affiliation":[{"name":"University of Perugia, \u201cS. Maria della Misericordia\u201d Hospital","place":["Perugia,Italy"],"department":["Division of Orthopaedics and Trauma Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Meccariello","sequence":"additional","affiliation":[{"name":"Vito Fazzi Hospital","place":["Lecce,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni Battista","family":"Mancini","sequence":"additional","affiliation":[{"name":"San Matteo degli Infermi Hospital","place":["Spoleto,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia","family":"Marrani","sequence":"additional","affiliation":[{"name":"University La Sapienza, Roma","place":["Rome,Italy"],"department":["Rehabilitation Unit"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Predrag","family":"Grubor","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Banja Luka","place":["Banja Luka,Bosnia and Herzegovina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Rollo","sequence":"additional","affiliation":[{"name":"Vito Fazzi Hospital","place":["Lecce,Italy"],"department":["Department of Orthopaedics and Traumatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Auro","family":"Caraffa","sequence":"additional","affiliation":[{"name":"University of Perugia, \u201cS. Maria della Misericordia\u201d Hospital","place":["Perugia,Italy"],"department":["Division of Orthopaedics and Trauma Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2019,9,22]]},"reference":[{"key":"ref1","first-page":"530","article-title":"Role of MRI in the diagnosis and treatment of osteomyelitis in pediatric patients","author":"BPugmireB","year":"2014","unstructured":"Pugmire BS, Shailam R, Gee MS. Role of MRI in the \ndiagnosis and treatment of osteomyelitis in pediatric \npatients. World J Radiol 2014; 6:530-7.","journal-title":"World J Radiol"},{"key":"ref2","first-page":"166","article-title":"Acute hematogenous osteomyelitis in children","author":"KSongK","year":"2001","unstructured":"Song KM, Sloboda JF. Acute hematogenous oste-\nomyelitis in children. 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After 2 years \nafter the onset of the disease the patient recove-\nred without clinical and radiographic sequelae. \nNo similar cases are found in the literature. \nFUNDING \nNo specific funding received for this study \nTRANSPARENCY DECLARATION \nCompeting interests: None to declare \n13."},{"key":"ref14","first-page":"584","article-title":"Haematogenous acute and subacute paediatric osteomyelitis: a systematic review of the literature","author":"JDartnellJ","year":"2012","unstructured":"Dartnell J, Ramachandran M, Katchburian M. Hae-\nmatogenous acute and subacute paediatric osteomye-\nlitis: a systematic review of the literature. J Bone Joint \nSurg Br 2012; 94:584-95.","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"ref15","first-page":"135","article-title":"Children's Orthopaedics and Fractures","author":"KParschK","year":"2010","unstructured":"Parsch K, Nade S. 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