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Fusiform Bacterial Sepsis

Metastases with Osteomyelitis and Hepatic Abscess Occurring in a Chaotic Family

Department of Pediatrics, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242

Randell C. Alexander, MD, PhD

Department of Pediatrics, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242

Stanley Perlman, MD, PhD

Department of Pediatrics, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242

Wilbur J. Smith, JR, MD

Department of Pediatrics and Radiology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242

Steven A. Dekowski, MD

Department of Pediatrics, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242

Cases of fusiform bacteria sepsis have been reported infrequently in the pediatric literature. This case demonstrates the severe metastatic complications of fusiform bacterial sepsis including osteomyelitis, with multiple pathological fractures, sepsis, and abscesses of the liver. In the diagnostic evaluation of the etiology for this uncommon infection, child abuse was discovered in all children of this family. In children with uncommon infections and no underlying etiology, child abuse should be considered.

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