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    Synonyms: 1. Ostitis (DIETRICH) 2. Osteitis (BURRI) 3. Panostitis (KOCHER) 4. Osteomyeloperiostitis (MAGNUS)

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    Anastasiafynn
    1. Osteomyelitis is a bacterial infection of the bone and periosteum that can be acute, chronic, or subacute. 2. Acute hematogenous osteomyelitis most often affects children and is caused by bacteria entering the bloodstream and settling in the bone, usually in the metaphysis of long bones. 3. Symptoms include fever, pain and tenderness in the affected bone, and swelling. X-rays may not show changes for 10 days while MRI is more sensitive in early stages. Treatment involves antibiotics, splinting, and sometimes surgery to drain pus.

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    Synonyms: 1. Ostitis (DIETRICH) 2. Osteitis (BURRI) 3. Panostitis (KOCHER) 4. Osteomyeloperiostitis (MAGNUS)

    Uploaded by

    Anastasiafynn
    52 views22 pages
    1. Osteomyelitis is a bacterial infection of the bone and periosteum that can be acute, chronic, or subacute. 2. Acute hematogenous osteomyelitis most often affects children and is caused by bacteria entering the bloodstream and settling in the bone, usually in the metaphysis of long bones. 3. Symptoms include fever, pain and tenderness in the affected bone, and swelling. X-rays may not show changes for 10 days while MRI is more sensitive in early stages. Treatment involves antibiotics, splinting, and sometimes surgery to drain pus.

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    Osteomyelitis

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    1. Osteomyelitis is a bacterial infection of the bone and periosteum that can be acute, chronic, or subacute. 2. Acute hematogenous osteomyelitis most often affects children and is caused by bacteria entering the bloodstream and settling in the bone, usually in the metaphysis of long bones. 3. Symptoms include fever, pain and tenderness in the affected bone, and swelling. X-rays may not show changes for 10 days while MRI is more sensitive in early stages. Treatment involves antibiotics, splinting, and sometimes surgery to drain pus.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    52 views22 pages

    Synonyms: 1. Ostitis (DIETRICH) 2. Osteitis (BURRI) 3. Panostitis (KOCHER) 4. Osteomyeloperiostitis (MAGNUS)

    Uploaded by

    Anastasiafynn
    1. Osteomyelitis is a bacterial infection of the bone and periosteum that can be acute, chronic, or subacute. 2. Acute hematogenous osteomyelitis most often affects children and is caused by bacteria entering the bloodstream and settling in the bone, usually in the metaphysis of long bones. 3. Symptoms include fever, pain and tenderness in the affected bone, and swelling. X-rays may not show changes for 10 days while MRI is more sensitive in early stages. Treatment involves antibiotics, splinting, and sometimes surgery to drain pus.

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    Download as PPT, PDF, TXT or read online from Scribd
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    of 22

    OSTEOMYELITIS

    SYNONYMS: 1. Ostitis (DIETRICH) 2. Osteitis (BURRI) 3. Panostitis (KOCHER) 4. Osteomyeloperiostitis (MAGNUS)

    OSTEOMYELITIS
    Definition
    Mainly bacterial infection of the whole cross-section of the bone including the Periosteum.

    OSTEOMYELITIS
    Types
    1. Acute osteomyelitis a) Acute haematogenous osteomyelitis. b) Acute post traumatic osteomyelitis. 2. Chronic osteomyelitis. 3. Sub acute or primary chronic osteomyelitis

    ACUTE HAEMOTOGENOUS OSTEOMYELITIS (AHO)


    Infection of the bone mainly by bacteria but also by other organisms in the bloodstream. The bacteria reach the bloodstream from a distant focus: - Tonsilitis. - Infected umbilical cord. - Infected abrasions and lacerations. - Infected IV-sites.

    OCCURRENCE:
    1. Mainly in children (97%). 2. Only 3-5% are adults. 3. Ratio of boys to girls: 2-3:1 4. Long bones are usually affected in children. 5. In adults, the spine is affected 6. Vulnerable groups: sickle cell disease diabetes and HIV patients.

    BACTERIA INVOLVED
    1. Sta. aureus (80%). 2. Sc. (15%). 3. Rare bacteria - Sta. albus - Pn. - Coli - Pseudomonas - Proteus - Salmonella (sickle cell disease) 4 Fungus, viruses (mumps, measles)

    PATHOGENESIS OF AHO
    Organisms usually settle in the metaphasis because of the peculiar arrangement of the vessels there. The infection starts with: 1. Inflammation. 2. Suppuration. 3. Necrosis. 4. New bone formation. 5. Resolution.

    CLINICAL FEATURES
    1. Child very ill. 2. Hot. 3. Does not allow anybody to touch or even look at the affected limb. 4. History of a recent infection. 5. Child holds the limb absolutely still. 6. General findings: - Child very febrile (over 40 degrees) - Tachypnoea - Sweaty and may be drowsy 7. Pulse rate over 100.

    7. Local findings: - tender swelling at one end of a long bone. - Reddening. - Extreme tenderness and heat at affected area.

    INVESTIGATIONS
    1. Haematology. 2. Plane x-ray shows bony changes only after 10 days. 3. Ultrasound will show sub-periostal fluid accumulation. 4. MRI most sensitive even in the early stages. 5. Radioscintigraphy. 6. Aspiration of pus.

    DIFFERENTIAL DIAGNOSIS
    1. 2. 3. 4. 5. Cellulitis. Streptococcal necrotising myositis. Acute suppurative arthritis. Acute rheumatism. Sickle cell crisis.

    TREATMENT
    1. 2. 3. 4. 5. Cold compression. Broad spectral antibiotic. Splinting of the affected limb. Analgesics. Treat underline diseases. Eg Sickle cell, diabetes, HIV. 6. Incision and deroofing of the affected bone and emptying the pus.

    COMPLICATIONS
    1. Lethal outcome if not properly and promptly treated. 2. Metastatic infection. 3. Suppurative arthritis. 4. Altered bone growth.

    ACUTE POSTRAUMATIC OSTEOMYELITIS


    CAUSES:
    1. Open fractures. 2. After open reduction and internal fixation.

    CHRONIC OSTEOMYELITIS
    Usually develops from the acute Osteomyelitis.
    CLINICAL FEATURES 1. Sinuses. 2. Scars. 3. Deformity of the affected limb.

    RADIOLOGICAL EVIDENCE

    SUB ACUTE OR PRIMARY CHRONIC OSTEOMYELITIS

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