The Orthopaedic Consequences of Childhood Meningococcal Septicaemia
Received Date: Jul 08, 2016 / Accepted Date: Sep 19, 2016 / Published Date: Sep 26, 2016
Abstract
Purpose: The aim of this study is to use a defined population of patients with meningococcal septicaemia to calculate the incidence of orthopaedic complications.
Methods: Medical records and radiographs were analysed retrospectively for all patients admitted to the Paediatric Intensive Care Unit (PICU) of the Bristol Royal Hospital for Children from 01/01/2001 to 31/12/2012 with a primary diagnosis of meningococcal septicaemia.
Results: Of the 130 patients with meningococcal septicaemia alive at discharge, 10 developed orthopaedic sequelae, representing an overall incidence in this patient population of 7.7%. 9 patients required an amputation, 8 patients had growth plate abnormalities with 6 having documented angular deformity.
Clinical relevance: This study highlights the underestimation of orthopaedic complications following meningococcal septicaemia. Close follow up of at risk patients should be considered to reduce the potential impact of these debilitating injuries.
Keywords: Amputation; Orthopaedic; Tibia; Ischaemia; Periosteum
Citation: Edwards TA, Bowen L, Bintcliffe F, Aird J, Monsell F (2016) The Orthopaedic Consequences of Childhood Meningococcal Septicaemia. J Meningitis 1:109. Doi: 10.4172/2572-2050.1000109
Copyright: ©2016 Edwards TA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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