2009
DOI: 10.1007/s00132-008-1402-6
|View full text |Cite
|
Sign up to set email alerts
|

Die kindliche Osteomyelitis

Abstract: Bacterial osteomyelitis in children must be diagnosed quickly and requires immediate and adequate antibiotic treatment. Surgical interventions may be necessary. Infants as well as immunodeficient patients suffer more often from hematogenic bone infections than immunocompetent patients. According to recent findings, autoinflammatory nonbacterial osteitis is more probable in immunocompetent patients in good general condition and should always be considered as a differential diagnosis. Diagnostic and therapeutic … Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

0
6
0
9

Year Published

2012
2012
2022
2022

Publication Types

Select...
6
3

Relationship

0
9

Authors

Journals

citations
Cited by 18 publications
(16 citation statements)
references
References 28 publications
0
6
0
9
Order By: Relevance
“…It is believed that the etiological pathogens of infection in osteomyelitis (including hematogenous one) are a number of heterogeneous populations and types of bacteria, which suggests that a possible invasion is determined not by generic and species pathogenicity but by disorders in local homeostasis, immunity, microcirculation [34]. So, in the metaphyseal part of long tubular bones at the place of transition of the arterial flow to the venous one, the laminar blood flow it is changed into the turbulent one, which creates favorable conditions for local microbial invasion [35]. A further determining factor in the invasion is a relative depletion of phagocytic cells and the inferiority of the endothelial lining in these parts of the vascular bed, which allows bacteria to invariably translocate into the surrounding tissue [36].…”
Section: Pathomorphology Of the Infection Process In Bone Tissuementioning
confidence: 99%
See 1 more Smart Citation
“…It is believed that the etiological pathogens of infection in osteomyelitis (including hematogenous one) are a number of heterogeneous populations and types of bacteria, which suggests that a possible invasion is determined not by generic and species pathogenicity but by disorders in local homeostasis, immunity, microcirculation [34]. So, in the metaphyseal part of long tubular bones at the place of transition of the arterial flow to the venous one, the laminar blood flow it is changed into the turbulent one, which creates favorable conditions for local microbial invasion [35]. A further determining factor in the invasion is a relative depletion of phagocytic cells and the inferiority of the endothelial lining in these parts of the vascular bed, which allows bacteria to invariably translocate into the surrounding tissue [36].…”
Section: Pathomorphology Of the Infection Process In Bone Tissuementioning
confidence: 99%
“…Fig. 2 Molecular factors of S.aureus involved in interaction with osteoblasts [35]. The pathogen protein A directly binds to the TNFR-1 receptor of osteoblasts thus activating a cascade of cell reactions that result in apoptosis.…”
Section: Pathomorphology Of the Infection Process In Bone Tissuementioning
confidence: 99%
“…The pathogenesis of this process has been theoretically described. Inoculation of the metaphyseal vessels occurs at the transition point from the arteriolar vessels to the venous sinusoids, slowing blood flow and increasing vascular turbulence (Jansson et al, 2009). These sites of turbulence may be predisposed to bacterial infection by providing an opportunity for local invasion (Fig.…”
Section: Acute Haematogenous Osteomyelitismentioning
confidence: 99%
“…The pathophysiology behind this is the inoculation of metaphyseal vessels at the transition point of arteriolar vessels to the venous sinusoids slowing down the blood flow and increasing the vascular turbulence [3]. Osteomyelitis is mainly divided into 3 types: Acute, subacute and chronic type.…”
Section: Introductionmentioning
confidence: 99%