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2023

ANUÁRIO DO HOSPITAL
DONA ESTEFÂNIA

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Q FEVER CHRONIC OSTEOMYELITIS IN TWO CHILDREN

Beatriz Costa1, Andreia Morais2, Ana Sofia Santos3, Delfin Tavares4, Catarina Gouveia1

1 Infecciology Unit, Pediatric Department, Hospital Dona Estefânia
2 Pediatric Department, Hospital José Joaquim Fernandes - Unidade Local de Saúde do Baixo Alentejo - Beja, Portugal;
3 Centro de Estudos de Vectores e Doenças Infecciosas, Instituto Nacional de Saúde Dr Ricardo Jorge, Águas de Moura, Portugal;
4 Orthopedic Unit, Pediatric Cirurgic Departement, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central  

- Artigo Pediatr Infect Dis J. 2015 Nov;34(11):1269-71. doi: 10.1097/INF.0000000000000861.

Resumo:
We report 2 cases of chronic Q fever osteomyelitis in 10- and 5-year-old girls who presented with distal right femoral and left parasternal granulomatous osteomyelitis, respectively. Both were treated with ciprofloxacin and rifampin with good response. Q fever osteomyelitis is a challenging diagnosis in children, and the choice of antimicrobial treatment is difficult because of limited available data.