Baby with rare disease saved in city-based hospital

Baby with rare disease saved in city-based hospital

PUNE: Doctors at a city-based hospital saved a month-old boy who was diagnosed as having a rare disease called osteomyelitis, an infection of the bone. Dr Sachin Bhise, Dr Tushar Parikh and Dr Sameer Desai have now appealed to parents to seek medical attention immediately if osteomyelitis is suspected.

Dr Sachin Bhise, Paediatrician and Neonatologist at Motherhood Hospital, Kharadi said the boy was brought to the hospital with complaints of restricted movements of left lower limb for last 10 days. 

“There was swelling in left thigh for five days and fever with cough for three days. When the kid was eight days old, accumulation of pus was detected on right shoulder and was treated with oral antibiotics. On examination, the baby was irritable, febrile but the blood circulation was stable. Left lower limb examination revealed swelling in thigh region which was warm to touch, redness of overlying skin, tenderness and restricted range of motions at hip joint,” said Dr Bhise.

He said further X-ray report of the hip region showed erosion of left femoral head along its lateral aspect and soft tissue swelling in left thigh region.

“Other examinations revealed diagnosis of osteomyelitis of femur with septic arthritis of hip joint. Baby was admitted in Neo-natal Intensive Care Unit (NICU) and started on  antibiotics,” said Dr Bhise.

He added that with the help of paediatric orthopaedic surgeon, pus in hip joint and left thigh was removed and hip plaster was done to give better stability.

“Post procedure baby remained stable. During the hospital stay, mother was trained for oral feeding and other nursing care as hip spica (plaster) was advised for eight weeks,” added Dr Bhise.

Dr Sameer Desai, Pediatric Orthopedic Surgeon, Motherhood Hospital, Kharadi said the joint and bone infection should be treated on time among children.

“This child had very low weight and special equipment and techniques were used to operate on the child. The tissues are small and hence operation is very difficult and skillful,” said Dr Desai.

Dr Tushar Parikh, Head of Pediatrics and Neonatology at Motherhood Hospital, Kharadi said any child not moving the limb and having pain and fever should be suspected to have joint infection.

“It is an orthopedic emergency as delay in treatment could literally melt down the affected bones. Pre-term children are particularly more prone due to their poor immunity. Parents should be cautious and bring the child to the doctor when the child is not moving the limbs,” said Dr Parikh.

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