Penicillin-resistant streptococcus pneumoniae (pneumococcus)‎ osteomyelitis in a premature infant

Abstract EN

We present an extremely rare occurrence of penicillin-resistant Streptococcus pneumonia osteomyelitis infection in a four-month-old premature infant.

The baby presented with swelling of the thigh and low-grade fever.

The X-ray of the leg was suggestive of fracture of the femur, while the ultrasonography revealed a periosteal reaction suggestive of osteomyelitis of the bone.

Aspiration of the pus confirmed the presence of penicillin-resistant streptococcus pneumonia.

The infection was managed with intravenous Cefepime for three weeks followed by another three weeks of oral Augmentin; the infant had good clinical and radiographic recovery.