Infectious Dis. Medical News about child

Become a Member Today!
Register

Most Viewed Abstracts

1. Report Shows Shift in Starting Salaries for Physicians

2. Use of Antiemetic Agents in Acute Gastroenteritis

3. 2008 Exclusive Survey—Earnings: Good news for primary care income

4. Medicare pay-for-reporting effort draws fire from frustrated doctors

5. Debunking Myths in the US Healthcare System

Your Article Summary

See Latest Articles

(Click the title below to leave the MDLinx Network and go to the Journal's Website)

Clival osteomyelitis resulting from spread of infection through the fossa navicularis magna in a child
Pediatric Radiology, 05/08/09

Prabhu SP et al. - The authors report the imaging findings in a 5-year-old child who presented acutely with a retropharyngeal abscess and osteomyelitis of the clivus. Imaging after treatment revealed a “notch-like” defect in the anterior clivus consistent with a fossa navicularis. Based on these appearances, the authors postulate that the lymphoid tissue of the pharyngeal tonsil residing in the fossa navicularis served as a route through which infection spread and subsequently developed into clival osteomyelitis, which is a rare diagnosis.

Exclusive Author Commentary
Sanjay P. Prabhu, 05/08/09

The fossa navicularis magna is seen on scans in normal patients-take a close look at the area on images through the skull base when you look at a thin section CT in young patients. Further study is needed to ascertain whether a certain size of the fossa makes one more prone to infection form the resident lymphoid tissue spread to the clivus and beyond. We would love to hear from others who have noticed this variant and if you can tell us how often you think you see it, that will be awesome.

<< Previous
A comparison of population-based pneumonia surveillance and...

Next >>
Mode of interaction between the HIV-1-neutralizing monoclonal...