April 30, 2026 · The American journal of emergency medicine · DOI: 10.1016/j.ajem.2026.04.034

Analysis of risk factors for concurrent osteomyelitis in children with septic arthritis: A retrospective cohort study

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This study aimed to identify clinical and laboratory risk factors for concurrent osteomyelitis (OM) in children diagnosed with septic arthritis (SA). The authors found that delayed surgical intervention, high preoperative fever, and infection with Staphylococcus aureus are significant independent predictors of concurrent OM. These findings suggest that clinicians should be vigilant for OM in pediatric patients exhibiting these risk factors and consider advanced imaging for appropriate management.

Chen Wang, Kang Wang, Hua Zhu, Yan Zou, Yiren Tian, Weili Xu

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