The presence of acute osteomyelitis andseptic
arthritis are uncommon in neonate. Recognition and
treatment of adjacent septic arthritis is a matter of
urgency and importance, as it may result in severe
sequalae such as sepsis, joint destruction and growth
failure if it is not diagnosed andtreated promptly.
In this paper we report a case of a 21-days-old
neonate girl presented with left humeralosteomyelitis and
secondary septic arthritisof the shoulder joint following
hepatitis B vaccination. She received medical treatments
including supportive care, antibiotics and a surgical
The 3 months follow-up shows scleroticchanges to
the proximal humerus in radiograph examination,
without clinical manifestation. A long follow up of 1 – 2
years is required to detect all possible sequalae.
Osteomyelitis, Neonate, SepticArthritis