TAILIEUCHUNG - Chapter 120. Osteomyelitis (Part 2)

Vertebral Osteomyelitis The vertebrae are the most common sites of hematogenous osteomyelitis in adults. Organisms reach the well-perfused vertebral body via spinal arteries and quickly spread from the end plate into the disk space and then to the adjacent vertebral body. Sources of bacteremia include the urinary tract (especially among men over age 50), dental abscesses, soft tissue infections, and contaminated IV lines, but the source of bacteremia is not evident in more than half of patients. Diabetes mellitus requiring insulin injection, a recent invasive medical procedure, hemodialysis, and injection drug use carry an increased risk of spinal infection. Many. | Chapter 120. Osteomyelitis Part 2 Vertebral Osteomyelitis The vertebrae are the most common sites of hematogenous osteomyelitis in adults. Organisms reach the well-perfused vertebral body via spinal arteries and quickly spread from the end plate into the disk space and then to the adjacent vertebral body. Sources of bacteremia include the urinary tract especially among men over age 50 dental abscesses soft tissue infections and contaminated IV lines but the source of bacteremia is not evident in more than half of patients. Diabetes mellitus requiring insulin injection a recent invasive medical procedure hemodialysis and injection drug use carry an increased risk of spinal infection. Many patients have a history of degenerative joint disease involving the spine and some report an episode of trauma preceding the onset of infection. Penetrating injuries and surgical procedures involving the spine may cause nonhematogenous vertebral osteomyelitis or infection localized to a disk. Most patients with vertebral osteomyelitis report neck or back pain patients may describe atypical pain in the chest the abdomen or an extremity that is due to irritation of nerve roots. Symptoms are localized to the lumbar spine more often than to the thoracic spine 50 vs. 35 of cases or the cervical spine in pyogenic infections but the thoracic spine is involved most commonly in tuberculous spondylitis Pott s disease . More than 50 of patients experience a subacute illness in which a vague dull pain gradually intensifies over 2-3 months. Fever is usually low-grade or absent but some patients recall having had an episode of fever and chills prior to or at the onset of pain. An acute presentation with high fever and toxicity is less common and suggests ongoing bacteremia. Percussion over the involved vertebra elicits tenderness and physical examination may reveal spasm of the paraspinal muscles and limitation of motion. Laboratory findings at the time of presentation include a normal or .

• Y học thường thức
• Osteomyelitis
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Musculoskeletal melioidosis
• Burkholderia pseudomallei osteomyelitis
• Chronic osteomyelitis
• Malaysian return driver
• Skull Osteomyelitis
• Chronic Non Bacterial
• Osteitis Chronic Recurrent
• Multifocal Osteomyelitis
• Treatment of Osteomyelitis
• Bleeding During Surgery
• BMC Musculoskeletal Disorders
• Calcium sulfate
• Diabetic foot osteomyelitis
• Surgical treatment
• Osteomyelitis recurrence rate
• Induced membrane
• Two stage surgery
• Hematogenous osteomyelitis
• Acute hematogenous osteomyelitis
• Radiofrequency Treatments
• Review and New Approaches
• Etiology and Pathogenesis
• Pathogenesis of Osteomyelitis
• Diagnosis and Types
• BMC Pediatrics
• Inflammatory bowel disease
• Chronic non infectious osteomyelitis
• Ulcerative colitis
• Joint pain
• Staphylococcus aureus
• Antimicrobial susceptibility
• Tertiary care centre
• Post traumatic osteomyelitis
• Bacteriological profile
• Chronic nonbacterial osteomyelitis
• Clavicle reconstruction
• Free peroneal graft
• Typical radiographic findings
• BMC Pulmonary Medicine
• Mycobacterium abscessus ssp abscessus
• Vertebral osteomyelitis
• pulmonary disease
• Non tuberculous mycobacteria
• Chronic recurrent multifocal osteomyelitis
• Periosteal proliferation
• Idiopathic inflammatory disease
• Humeral cortex
• Fibular osteomyelitis
• Distal fibular
• Knee stability
• Disturb ankle kinematics significantly
• Microbiological profile
• Tertiary care hospital
• Poor blood supply
• Diabetic wounds
• Loss of protective sensation
• Mauricio S
• Baptista and João Paulo Tardivo
• Health
• Sciences
• medicine
• pharmacolocy
• Gram positive filamentous organism
• Chronic granulomatous disease
• Cervicofacial actinomycosis
• Actinomycotic osteomyelitis
• Vancomycin calcium sulfate implantation
• Fenestration decompression
• Sclerosing osteomyelitis
• C reactive protein
• báo cáo khoa học
• báo cáo y học
• công trình nghiên cứu về y học
• tài liệu về y học
• cách trình bày báo cáo