Acute transphyseal hematogenous osteomyelitis caused by Haemophilus influenzae with 5-year follow-up.

Acute hematogenous osteomyelitis is a well-recognized entity in infants and children. Over 90% of cases are caused by coagulase-positive Staphylococcus aureus, with other organisms only rarely implicated. Transepiphyseal osteomyelitis, because of the presence of infection on either side of the physis, usually results in growth arrest. The authors report the case of a 4-month-old child who had a transphyseal acute hematogenous osteomyelitis caused by Haemophilus influenzae and document complete resolution of the infection at 5-year follow-up with no clinical or radiographic evidence of growth arrest.