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  • Osteomielitis Akut: Dr. Dani Rosdiana, SPPD Bagian Ilmu Penyakit Dalam FK Universitas Riau

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    Diana Fadly Matondang
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    Osteomyelitis is an infection of bone tissue that is usually caused by bacteria. It most commonly occurs in children and is often the result of trauma, surgery, or the presence of foreign objects in bone. The bacteria can spread to the bone from the bloodstream (hematogenous osteomyelitis) or directly from a contiguous infection. Staphylococcus aureus is the most frequent cause of acute osteomyelitis. Symptoms include fever, chills, fatigue, weakness, and local signs of inflammation like pain, swelling, redness, and edema at the site of infection. Physical examination may reveal scars from previous wounds or surgery as well as limited range of motion, deformity, and impaired vascular

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    Osteomyelitis is an infection of bone tissue that is usually caused by bacteria. It most commonly occurs in children and is often the result of trauma, surgery, or the presence of foreign objects in bone. The bacteria can spread to the bone from the bloodstream (hematogenous osteomyelitis) or directly from a contiguous infection. Staphylococcus aureus is the most frequent cause of acute osteomyelitis. Symptoms include fever, chills, fatigue, weakness, and local signs of inflammation like pain, swelling, redness, and edema at the site of infection. Physical examination may reveal scars from previous wounds or surgery as well as limited range of motion, deformity, and impaired vascular

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    Osteomielitis Akut: Dr. Dani Rosdiana, SPPD Bagian Ilmu Penyakit Dalam FK Universitas Riau

    Caricato da

    Diana Fadly Matondang
    Osteomyelitis is an infection of bone tissue that is usually caused by bacteria. It most commonly occurs in children and is often the result of trauma, surgery, or the presence of foreign objects in bone. The bacteria can spread to the bone from the bloodstream (hematogenous osteomyelitis) or directly from a contiguous infection. Staphylococcus aureus is the most frequent cause of acute osteomyelitis. Symptoms include fever, chills, fatigue, weakness, and local signs of inflammation like pain, swelling, redness, and edema at the site of infection. Physical examination may reveal scars from previous wounds or surgery as well as limited range of motion, deformity, and impaired vascular

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    OSTEOMIELITIS AKUT

    dr. Dani Rosdiana, SpPD


    Bagian Ilmu Penyakit Dalam
    FK Universitas Riau
    LATAR BELAKANG
    Osteomielitis: peradangan tulang caused by
    organism infection.
    Kejadian : paling banyak pada anak-anak
    (predominantly)
    Dewasa: sering sub akut atau kronik
    Trauma, pembedahan, benda asing pada trauma,
    prothesa disrupt bony integrity
    Penjalaran hematogen post bacteriemia.
    prosthetic joints are associated with infection,
    microorganisms typically grow in biofilm, which
    protects bacteria from antimicrobial treatment
    and the host immune response.
    INSIDENSI
    Hematogenous >> (20%), lebih banyak pada
    laki-laki (why? Unknown)
    Insidensi spinal osteomyelitis diperkirakan 1
    in 450,000 pada 2001. namun, overall
    incidence vertebral osteomyelitis diperkirakan
    akan terus meningkat tahun terakhir karena:
    intravenous drug use
    increasing age of the population
    higher rates of nosocomial infection due to
    intravascular devices and other
    instrumentation.
    Etiology
    Post traumatic osteomyelitis :47% cases
    Other major causes :
    Vascular insufficiency (mostly occurring in
    persons with diabetes; 34%)
    Hematogenous seeding (19%).
    Motor vehicle accidents, sports injuries, and the
    use of orthopedic hardware to manage trauma.
    Osteomyelitis may complicate puncture wounds
    of the foot, occurring in 1.8%-6.4% of patients
    following injury.
    Osteomielitis Hematogen
    Vertebrae : paling banyak terkena
    hematogenous osteomyelitis,
    Long bones, pelvis, and clavicle.
    Microba:
    S aureus : paling banyak Osteomielitis AKUT
    Pseudomonas
    Enterobacteriaceae.
    Jarang: anaerobe gram-negative bacilli.
    Dental extraction has been associated with
    Streptococcus viridans infections .
    Osteomielitis Kronik
    TAMPILAN KLINIK
    GEJALA
    Demam, menggigil, lelah, lemah.
    Gejala klasik peradangan : nyeri lokal,
    bengkak, merah, dan kadang hilang dalam
    waktu 5-7 hari.
    Need to explore: previous antibiotic and
    surgical treatment. Local pain, swelling,
    erythema, and edema may also be
    reported.
    PHYSICAL EXAMINATION
    Scars or local disturbance of wound
    healing may be noted along with the
    cardinal signs of inflammation.
    Range of motion, deformity, and local
    signs of impaired
    Vascularity are also sought in the
    involved extremity.
    If periosteal tissues are involved, point
    tenderness may be present.

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