SC Hemoglobinopathy(HbSC) with Osteoarticular Complications:Case Report  

作　　者：Filipe Bezerra Macedo Jucier Goncalves Júnior Fabiana Gouveia Guimaraes Raphael Cisne Tomaz Débora Valentim Monte Alto Paula Pessoa Pinheiro Jácia Maria Neves Coelho 

机构地区：[1]Department of Pediatric,Hospital Maternidade Sao Vicente de Paulo(HMSVP),Barbalha,Brazil [2]School of Medicine,Federal University of Cariri(UFCA),Barbalha,Brazil [3]Residence in Pediatrics,Federal University of Cariri(UFCA),Barbalha,Brazil

出　　处：《Health》2017年第7期1075-1080,共6页健康（英文）

摘　　要：Background: Among hemoglobinopathies, the most prevalent in our population are hemoglobins S and C, which are capable of producing disease when homozygous. In cases of double heterozygotes with sickle hemoglobin C (SC), the disease is less expressive in its clinical condition and rarer. Case report: Patient has a previous hospitalization with pain in the joints in knee and hip and several febrile peaks. Upon physical examination, the patient had difficulty in walking, without edema, pedal and tibial posterior pulses present, with no signs of compartment syndrome. Complementary exams revealed anemia, leukocytosis and lymphopenia. The hemoglobin electrophoresis showed the SC Hemoglobinopathy. The treatment with antibiotic therapy according to the protocol (Oxacillin and Ceftriaxone) was restarted and submitted to joint drainage in affected limb. Conclusion: Osteomyelitis and septic arthritis in patients in the pediatric age group should be considered as serious infections that deserve hospitalization and more expressive treatment.Background: Among hemoglobinopathies, the most prevalent in our population are hemoglobins S and C, which are capable of producing disease when homozygous. In cases of double heterozygotes with sickle hemoglobin C (SC), the disease is less expressive in its clinical condition and rarer. Case report: Patient has a previous hospitalization with pain in the joints in knee and hip and several febrile peaks. Upon physical examination, the patient had difficulty in walking, without edema, pedal and tibial posterior pulses present, with no signs of compartment syndrome. Complementary exams revealed anemia, leukocytosis and lymphopenia. The hemoglobin electrophoresis showed the SC Hemoglobinopathy. The treatment with antibiotic therapy according to the protocol (Oxacillin and Ceftriaxone) was restarted and submitted to joint drainage in affected limb. Conclusion: Osteomyelitis and septic arthritis in patients in the pediatric age group should be considered as serious infections that deserve hospitalization and more expressive treatment.

关 键 词：SC Hemoglobinopathy PAEDIATRICS Case Report 

分 类 号：R73[医药卫生—肿瘤]