Osteomyelitis - an infectious disease with bone marrow involvement of bone and periosteum.
infectious agent of the disease is considered to be staph, but the cause could be streptococcus, gonococcus, and even E. coli.
In some types of bone osteomyelitis occurs more frequently than others (tibia and femur), but the risk of infection is present for all bones.
Men suffer 4 times more often than women.But the most dangerous osteomyelitis in children, because of its implications for the future health of a much heavier.
Way of infection may vary, and according to secrete endogenous and exogenous osteomyelitis.
exogenous osteomyelitis occurs by direct contact with infected bone.The trauma of the bone itself is a contributing factor.
classic case of exogenous osteomyelitis can be regarded as an inflammation of the bone marrow after an open fracture: a combination of bone injury wit
exogenous osteomyelitis is a bone lesion in contact with purulent focus.
transition purulent inflammation with abscess (abscess) of the tooth root in the jaw bone tissue facing such serious complication as osteomyelitis of the mandible.Odontogenic osteomyelitis - "caused by diseases of the teeth."
exogenous osteomyelitis can be considered iatrogenic (caused by medical operations), an example of which is osteomyelitis in bone fixation zone.
fixation of bone fragments surgically in the past held by spokes (Ilizarov apparatus), which had a number of complications such as purulent lesions of bone at the site of the spokes.
Currently the method of choice is the fixation plates and screws.In this way, the operating wound is sutured tightly and metal appliances are not in contact with the skin surface, so the risk of septic complications in the internal osteosynthesis much less.
Endogenous osteomyelitis caused by infection of the transfer of an existing center in the body.Since the transfer of infection, according to popular theory, comes from the bloodstream, this form of the disease called hematogenous osteomyelitis.
Those cases of osteomyelitis, which failed to show the penetration of infection directly, is considered to be hematogenous.
When hematogenous transfer source microflora infection can be any pockets of inflammation, including long-existing diseases such as dental caries, chronic tonsillitis, boils, located away from the affected bone.
first symptoms of osteomyelitis are fever and arching an intense pain in the affected bone.
hematogenous especially dangerous form of the disease, because the focus of inflammation is hidden from the eye, and infection development occurs rapidly.
particular danger are the symptoms of intoxication (drop in blood pressure, severe weakness, nausea, vomiting), who, without medical intervention, can develop into shock.
general condition of the patient is somewhat simplified when pus, spreading between the muscle membranes away from the source of inflammation, breaks in the surface of the body.Formed festering fistula.In the process of melting the bones can form bone fragments (sequesters) supporting inflammation.
To facilitate the drainage of purulent cavities and to fully focus on the treatment of seizures may need surgery.
But prompt action are greater auxiliary character, because the main treatment of osteomyelitis is an antibiotic.
Thanks to emerging new generations of antibiotics, osteomyelitis treatment was more effective and safer.
There was a period in the domestic medicine that helps fight disease with prolonged courses of antibiotics changing, had, moreover, a number of serious complications.The most common complications include such toxic liver damage and hearing loss including deafness.
important role in the treatment of osteomyelitis is played by supporting the overall resistance of the organism (vitamins, protein drugs, immunomodulators).
a result of inadequate or delayed treatment of acute osteomyelitis may become chronic.
Chronic suppurative process not only drains the psyche with immunity, but can cause serious complications in other organs.
example, complication of chronic osteomyelitis can become renal amyloidosis, leading to irreversible changes in the allocation system.Therefore, the foundation of high quality treatment of osteomyelitis patients can be considered the realization of the seriousness of the disease.
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