Importance of communication between medical specialties: A case series

Bayam, Levent; Bruce, Colin; Sampath, J.; Bayam, F.B.; Abernethy, Laurence

doi:10.1016/j.injury.2007.12.022

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Recent studies compared different diagnostic methods, focusing on whether an early diagnosis may be established (8)(9)(10)(11)(12) . Moreover, different patient groups have been studied to define the disease characteristics, its progression and changes along time, particularly in determinant factors of better or worse prognoses, such as etiology and the patterns of pathogen resistance to antimicrobial drugs (13)(14)(15)(16)(17) .…”

Section: Introductionmentioning

confidence: 99%

Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

Puccini¹,

Ferrarini²,

Iazzetti

2012

Rev. paul. pediatr.

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OBJETIVO: Descrever a ocorrência, a evolução e o desfecho de pacientes com osteomielite hematogênica aguda na faixa etária pediátrica. MÉTODOS: Estudo descritivo de 21 casos de pacientes de zero a 14 anos com diagnóstico de osteomielite hematogênica aguda, em acompanhamento no Ambulatório de Infectologia Pediátrica da Escola Paulista de Medicina entre 2005 e 2009. A coleta de dados ocorreu pelo levantamento de prontuários. Realizaram-se a análise descritiva e o teste de correlação de Spearman, com intervalo de confiança de 95%. RESULTADOS: Foi identificada maior incidência no sexo masculino e em crianças maiores de cinco anos. Febre e dor foram os sintomas mais frequentes. Os ossos longos foram os mais acometidos. O principal agente etiológico identificado foi o Staphylococcus aureus. Em média, o tempo de sintomatologia até o diagnóstico foi de 9,7 dias, o de internação, 24,7 dias, e o total de antibioticoterapia foi de 71,7 dias. A resolução completa do quadro ocorreu em 71,4% dos casos, com permanência de sequelas em 28,6% deles, sendo a evolução para osteomielite crônica a principal delas. CONCLUSÕES: As características dos pacientes e da doença referentes a sexo, idade, etiologia e evolução mostram-se concordantes com o descrito na literatura. O tempo de tratamento foi de aproximadamente dez semanas, valor acima do habitualmente encontrado nos diferentes estudos. Não foram encontradas correlações significantes entre o tempo de sintomatologia até o diagnóstico, o tempo de internação e o tempo total de antibioticoterapia, havendo a limitação do tamanho da amostra.

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Section: Introductionmentioning

confidence: 99%

Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

Puccini¹,

Ferrarini²,

Iazzetti

2012

Rev. paul. pediatr.

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“…There is difficulty of diagnosis for children, because the latent severity of infection. Frequent recurrence occurs among adults, and they advise for surgical intervention, consultation of orthopaedic subspecialist or plastic surgeon [18].…”

Section: Diagnosismentioning

confidence: 99%

Osteomyelitis: Identification and Management

Kumari¹

2016

MOJOR

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ObjectiveOsteomyelitis is a severe inflammation within the bone, bone marrow and surrounding soft tissue, that develops secondary to infection with microbial organisms. The objective of this article is to present an over view regarding the identification and management of osteomyelitis. IntroductionOsteomyelitis is acute and chronic inflammatory process based upon the histopathological finding rather than duration of infection. Osteomyelitis occurring primarily in children and adolescents pathogenic micro-organism cause inflammation and infection of bone, which lead to osteomyelitis and signs appears after two weeks of infection (Figure 1) In chronic osteomyelitis necrotic bone is present and signs may not appear until six weeks of infection [1]. Osteomyelitis infection is based on open wound, haematogenous or direct bacterial inoculation inside bone [2]. Radio nuclides imagine have improved diagnostic accuracy and better orthopaedic techniques as well as use of some prophylactic regimens which help to minimize the risk of infection among osteomyelitis patient. EtiologyBacterial Staphylococcus is common infection which causes an acute and chronic haematogenous osteomyelitis. Different types of pathogens among children are Type A streptococcus, Streptococcus pneumonia, Kingella kingae and Type B streptococcal infection is mainly occur in infants [3]. Streptococcus aureus is the common pathogen in bone among adults. Progressively, methicillinresistant Staphylococcus aureus is separated from patients with osteomyelitis [4]. Other persistent cases may be caused by adjacent infection, Pseudomonas aeruginosa, Escherichia coli and Staphylococcus epidermidis. Other reported cases of osteomyelitis are mycobacterial infections and fungal, these are rare and usually found in patients with weakened of body immunity [5]. PathogenesisOsteomyelitis may be occurring direct inoculation of causative organism in bone. Normal bone is highly resistant to infection occur in case of injury, trauma, and existence of foreign bodies [6]. Causative organism streptococcus aureus adhere to bone and expressing receptors for bone matrix. An insignificant skin infection emerge the serious infection such as sub-acute and acute bacterial endocarditic [7]. In children and adults, osteomyelitis mainly involves metaphysis of long bone, femur, proximal radius and hummers [8,9]. Penetrating injury and surgical contamination are the most common causes of direct inoculation osteomyelitis. Patent with severe vascular diseases often lead to osteomyelitis. Clinical ManifestationOsteomyelitis of acute haematogenous results from bacterial growth of bone. Most of the Children are more prone to infection because of developing of meta-physeal regions of the long bones, rich in blood supply and more prone to slight trauma. Acute haematogenous osteomyelitis in children occur about one-half of all patients who are under five years [10]. Children usually came with the symptom of exist fever, irritability, local erythema, swelling in soft tissues and tenderness bo...

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Importance of communication between medical specialties: A case series

Cited by 2 publications

References 6 publications

Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

Osteomyelitis: Identification and Management

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