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

Puccini, Pedro Fiorini; Ferrarini, Maria Aparecida Gadiani; Iazzetti, Antônio Vladir

doi:10.1590/s0103-05822012000300008

Cited by 5 publications

(12 citation statements)

References 21 publications

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“…The reason for such a finding could be due the possibility of these bones being more prone to injury as compared to other bones. This finding correlates well with a similar study by Puccini et al [10]. Two cases of foot osteomyelitis found in our study had a history of trauma.…”

Section: Discussionsupporting

confidence: 94%

“…As per results seen in table 2, males were more affected (75%) as compared to females (25%). Similar findings were seen in other studies [10] and reviews [11]. Our study reports an overall incidence of 0.812% pediatric osteomyelitis.…”

Section: Discussionsupporting

confidence: 92%

“…In our study 6-10 years age group was the most affected (46.87%), as seen in table 1. This finding correlates well with the study of Puccini et al who found maximum number of cases in 6-14 years' age group (61.9%) cases [10]. This finding also correlate with Zaoutis et al, who studied children aged 2 months to 17 years and found detection rate of 42% in < 5 years and 58% for 6-17 years.…”

Section: Discussionsupporting

confidence: 92%

“…Blood culture was found to be positive in 65.52% cases (Table-4), which as per literature is able to detect around 50% cases [13]. Discharge from the site have more detection rate [10].…”

Section: Discussionmentioning

confidence: 54%

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Study of Osteomyelitis in paediatric patients

Sindhur¹,

Razak²,

Ks³

et al. 2017

Int J Pediatr Res

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Introduction: Osteomyelitis is defined as inflammation of bone. Though the main culprits are bacteria occasionally fungi may also be involved. Prognosis of untreated or delayed treatment onset osteomyelitis is often bad and leads to adverse outcomes. Very few cases of osteomyelitis are reported from India as compared to other infectious conditions. In this study we aim to study the number of patients, male: female ratio, type of osteomyelitis and the bacterial profile associated with osteomyelitis. Methods: After obtaining Institutional Ethics approval, the present study was conducted from 1 st January 2016-31 st December 2016 at KVG Medical College, Sullia. Blood and sample like fluid aspirate or discharge collected was subjected to microscopy and culture. Antibiotic susceptibility testing was done using disk diffusion methods. Radiological data of the patients was also collected. Results: Bacteria were isolated from 32 cases. The most affected age group was of 6-10 years of age (46.87%). Males were more affected as compared to females and male: female ratio was 3:1. Maximum number of patients were of acute osteomyelitis (87.5%) followed by subacute osteomyelitis (9.38%) and chronic osteomyelitis was found in just a single patient (3.12%). Long bones like tibia (56.25%), femur (18.75%), humerus (12.5%) were mostly affected. Blood culture was positive in 65.62% cases. Methicillin Sensitive Staphylococcus Aureus (MSSA) was the most common isolate (56.25%) followed by, Methicillin Resistant Staphylococcus Aureus (MRSA), Acinetobacter, Coagulase Negative Staphylococcus (CONS), Streptococcus pyogens, E.coli and Pseudomonas. Conclusion: Thus, S. aureus was the most common cause of acute bacterial osteomyelitis and mostly affected school age group children.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

“…Blood culture was found to be positive in 65.52% cases (Table-4), which as per literature is able to detect around 50% cases [13]. Discharge from the site have more detection rate [10].…”

Section: Discussionmentioning

confidence: 54%

See 2 more Smart Citations

Study of Osteomyelitis in paediatric patients

Sindhur¹,

Razak²,

Ks³

et al. 2017

Int J Pediatr Res

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“…mon consequences of HbSC, giving the case an interesting aspect to the study. In 2012, a study carried out at the Escola Paulista de Medicina, São Paulo, Brazil, reports three cases in a sample of 21 patients presenting hemoglobinopathy as the underlying disease of bone infections[15].Osteonecrosis, especially in the shoulder, occurs with almost equal frequency between HbSC and HBSS and the Acute Thoracic Syndrome (ATS) and may have increased mortality in HbSC disease[14]. Aseptic necrosis of the femoral head is related to episodes of acute thoracic syndrome due to fatty embolism[2], justifying the importance in the diagnosis of heterozygous individuals[16].…”

mentioning

confidence: 99%

SC Hemoglobinopathy (HbSC) with Osteoarticular Complications: Case Report

Macedo¹,

Júnior²,

Guimarães³

et al. 2017

Health

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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.

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Osteomielite Hematogênica Aguda do Punho em Crianças com Síndrome Compartimental: Relato de Caso

Resende¹,

Cruz

Machado³

et al. 2022

Arch Health Invest

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A osteomielite hematogênica aguda (OHA) é uma condição relativamente comum em crianças menores de 5 anos, mais frequentemente localizada no fêmur ou na tíbia. Apresentamos um caso incomum de paciente atendido em um hospital da rede privada de saúde em Aracaju-SE com OHA de rádio distal complicada com abscesso subperiosteal e síndrome compartimental. O relato clínico reafirma a importância do diagnóstico e tratamento precoces visto que maior parte das complicações estão relacionadas ao longo prazo da infecção, dentre elas o abscesso subperiosteal e a síndrome compartimental.

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

Cited by 5 publications

References 21 publications

Study of Osteomyelitis in paediatric patients

Study of Osteomyelitis in paediatric patients

SC Hemoglobinopathy (HbSC) with Osteoarticular Complications: Case Report

Osteomielite Hematogênica Aguda do Punho em Crianças com Síndrome Compartimental: Relato de Caso

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