Childhood Leukemia Presenting as Sternal Osteomyelitis
Andreas H. Gomoll, MD
Dr. Gomoll is an Associate Surgeon, Department of Orthopaedic Surgery, Brigham and Women's Hospital, and Instructor of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts.
Abstract not available. Introduction provided instead.
Musculoskeletal manifestations are the presenting complaint in up to 20% of patients with pediatric leukemia.1 Therefore, orthopedic surgeons often become involved before a formal diagnosis of leukemia has been made. Because of similarities in presentation, many of these patients are initially diagnosed with osteomyelitis, transient synovitis, or arthritis, resulting in a delay in appropriate treatment.
We present a case of a sternal lesion initially diagnosed and treated as osteomyelitis. We hope this case report raises awareness of this important and potentially lethal entity.