Acute Multifocal Haematogenous Osteomyelitis with Sepsis in a 10 Years Old Child Caused by Methicillin-Resistant Staphylococcus aureus: A Case Report

Authors

  • Sachindra Raj Joshi Department of Orthopedics, B&B Hospital, Gwarko, Lalitpur, Nepal
  • Dipesh Karki Department of Orthopedics, B&B Hospital, Gwarko, Lalitpur, Nepal
  • Tarun Rajbhandari Department of Orthopedics, B&B Hospital, Gwarko, Lalitpur, Nepal
  • Satish Prasad Barnawal Department of Orthopedics, B&B Hospital, Gwarko, Lalitpur, Nepal

Keywords:

MRSA, Osteomyelitis

Abstract

BACKGROUND
Acute Haematogenous Osteomyelitis is common in children, but the multifocal form, Acute Multifocal Osteomyelitis, is rare and has the potential to involve multiple bones. The usual organism causing acute osteomyelitis in children is Staphylococcus aureus; however, the presence of methicillin-resistant Staphylococcus aureus (MRSA) strains in the community has been associated with increased disease severity. Also, the disease might advance rapidly and result in severe morbidity and mortality if not treated early, but many factors relate to delayed treatment in our part of the world. We present a 10-year-old girl from the rural mountain region of Nepal with acute multifocal haematogenous osteomyelitis with sepsis caused by methicillin-resistant Staphylococcus aureus (MRSA).

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Published

2025-10-27

How to Cite

Joshi, S. R., Karki, D., Rajbhandari, T., & Barnawal, S. P. (2025). Acute Multifocal Haematogenous Osteomyelitis with Sepsis in a 10 Years Old Child Caused by Methicillin-Resistant Staphylococcus aureus: A Case Report. Nepal Orthopaedic Association Journal, 11(2), 35–39. Retrieved from https://nepjol.info/index.php/NOAJ/article/view/83229

Issue

Section

Case Report & Review of Literature