Chronic Osteomyelitis
I. Introduction
Osteomyelitis
An infection of the bone or bone marrow .It can be usefully sub classified on the basis of the causative organism (pyogenic bacteria or mycobacteria), the route, duration and anatomic location of the infection. In children, the disease usually results from untreated acute hematogenous osteomyelitis. The bone may be predisposed to infection due to recent trauma. Especially in times of civil unrest or war or as a complication of surgical procedures such as open reduction and internal fixation of fractures which is the most common means of bone infection in children. The long bones are affected most commonly, and the femur and tibia account for approximately half of the cases. Predisposing factors include poor hygiene, anemia, malnutrition, and a coexisting infectious disease burden (parasites, mycobacteria, acquired autoimmune deficiency syndrome), or any other factors that decrease immune function.
Chronic osteomyelitis is defined by the presence of residual foci of infection (avascular bone and soft tissue debris), which give rise to recurrent episodes of clinical infection
Symptoms of Osteomyelitis
Some of the most common symptoms of osteomyelitis are: * Pain in the bone * Local swelling * Redness, and warmth * High fever * Nausea * An abscess at the site of infection.
II. Patients Profile:
Name: L.P
Age: 7 years old
Religion: Catholic
Chief Complain: Pain on the LEFT thigh
History: At the age of 3 years old, patient had also experienced having pus on her Left thigh, and went to surgery.
Diagnosis: Chronic Osteomyelitis; Left Femur; Abscess on the Left Anterior Thigh
Surgery: Debridement of Left Thigh; Corticotomy of Left Thigh
III. Laboratory Results:
CBC:
| Result | Normal value | Hemoglobin | 128 | 110-158 | Hematocrit | 0.30 | 0.37-0.54 | MCV | 78 | 82-92 | MCH | 25 | 28-32 | MCHC | 32 | 32-38 | Segmenters | 0.71 | 0.5-0.71 | Lymphocytes | 0.18 | 0.20-0.40 |
Osteomyelitis
An infection of the bone or bone marrow .It can be usefully sub classified on the basis of the causative organism (pyogenic bacteria or mycobacteria), the route, duration and anatomic location of the infection. In children, the disease usually results from untreated acute hematogenous osteomyelitis. The bone may be predisposed to infection due to recent trauma. Especially in times of civil unrest or war or as a complication of surgical procedures such as open reduction and internal fixation of fractures which is the most common means of bone infection in children. The long bones are affected most commonly, and the femur and tibia account for approximately half of the cases. Predisposing factors include poor hygiene, anemia, malnutrition, and a coexisting infectious disease burden (parasites, mycobacteria, acquired autoimmune deficiency syndrome), or any other factors that decrease immune function.
Chronic osteomyelitis is defined by the presence of residual foci of infection (avascular bone and soft tissue debris), which give rise to recurrent episodes of clinical infection
Symptoms of Osteomyelitis
Some of the most common symptoms of osteomyelitis are: * Pain in the bone * Local swelling * Redness, and warmth * High fever * Nausea * An abscess at the site of infection.
II. Patients Profile:
Name: L.P
Age: 7 years old
Religion: Catholic
Chief Complain: Pain on the LEFT thigh
History: At the age of 3 years old, patient had also experienced having pus on her Left thigh, and went to surgery.
Diagnosis: Chronic Osteomyelitis; Left Femur; Abscess on the Left Anterior Thigh
Surgery: Debridement of Left Thigh; Corticotomy of Left Thigh
III. Laboratory Results:
CBC:
| Result | Normal value | Hemoglobin | 128 | 110-158 | Hematocrit | 0.30 | 0.37-0.54 | MCV | 78 | 82-92 | MCH | 25 | 28-32 | MCHC | 32 | 32-38 | Segmenters | 0.71 | 0.5-0.71 | Lymphocytes | 0.18 | 0.20-0.40 |