2018, Number 1
Osteomyelitis: an update approach
Álvarez LA, Soto-Carrasco SR, García LYC
Language: Spanish
References: 0
Page: 94-104
PDF size: 642.35 Kb.
ABSTRACT
Background: osteomyelitis is an infectious disease causing local and general symptoms. Its diagnosis is based mainly on clinical picture, because imaging and hematologic exams are not useful at early stages.Objective: to update the knowledge of patients who have pyogenic osteomyelitis.
Methods: with the obtained information, a search in the databases PubMed, Hinari, SciELO and Medline was conducted in a one-month period (October, 2016) through the information locator EndNote by using the following words: osteomyelitis and bone infections, resulting in a total of 2145 articles from the last five years. From them, 50 quotes were selected for review, and five books were included.
Development: incidence and percentages of patients with osteomyelitis were described in regards to anatomic zones, as well as contributing factors to develop the disease. Regarding imaging investigations the most used are pointed according to the time of the disease, being positive and percentages. Treatment was described based on pillars as general measures, antibiotic therapy and surgical modalities. The most important complications were pointed out.
Conclusions: osteomyelitis is a local entity affecting patients of any age range. Diagnosis should be always kept in mind, based on clinical exploration, because imaging and hematologic investigations are not specific, especially at early stages of the disease.