Tratamento das osteomielites crônicas

Abstract

From 1986 to 1990, sixty patients were treated for chronic osteomyelitis with surgery and chemotherapy. The clinical and radiologic follow-ups ranged from twelve to sixty months. The surgery was associated with a six-month oral sulfamethoxazole-trimethoprim combination chemotherapy. Clinical cure was achieved when inflammatory signs and symptoms disappeared, as happened to 50 (83.33%) of the single surgery cases, and to 9 (15%) of the multiple surgery cases. For one case (1.67%) osteomyelitis was not cured.

I LIVRO DA ABLAC-BR: A Cirurgia Sob as Lentes das Ligas Acadêmicas

“…Neste caso, a infecção óssea aguda ocorre através da via sanguínea, com embolização de foco infeccioso à distância, comum em pacientes de baixo poder socioeconômico. Nestas infecções, a necrose óssea associada pode servir como meio de cultura para bactérias que não se multiplicam rapidamente, mas persistem em latência (BARROS et al, 1992).…”