Aggiornamento
Le affezioni suppurative dello scheletro: osteomielite, artrite, discite
SUPPURATIVE INFECTIONS OF THE SKELETON: OSTEOMYELITIS, ARTHRITIS, DISCITIS
CHIARA TREVISIOL, IRENE BERTI, FEDERICO MARCHETTI
Clinica Pediatrica, IRCCS “Burlo Garofolo”, Università di Trieste
Settembre 2003 - pagg. 431 -438
Abstract
Osteomyelitis and suppurative arthritis are infections not extremely common in children, but
important because they can lead to severe consequences and permanent disabilities. In this
article we face the etiology, pathogenesis, clinical signs, diagnosis and treatment for these
conditions, underling the need for early recognition and appropriate drug therapy, based
first on empirical data (mainly the age) then on germ isolation. A long treatment seems to
be the crucial point, starting always with antibiotic infusion, followed by oral administration.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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2. Cole WG, Dalziel RE, Leitl S. Treatment of acute osteomyelitis in childhood. J Bone Joint Surg 1982;64B(2):218-23.
3. Yang Cl, Wang SM, Yang YJ, Tsai CH, Liu CC. Septic arthritis in children: relationship of causative pathogens, complications, and outcome. J Microbiol Immunol Infection 2003;36: 41-6.
4. Bonhoeffer J, Haeberle B, Schaad UB, Heininger U. Diagnosis of acute haematogenous osteomyelitis and septic arthritis: 20 years experience at the University Children’s Hospital Basel. Swiss Med Wkly 2001;131:575-81.
5. Unkila-Kallio L, Kallio MJT, Eskola J, Peltola H. Serum C-reactive protein, erythrocyte sedimentation rate, and with blood cell count in acute osteomyelitis in children. Pediatrics 1994;93:59-62.
6. Dahl LB, Hoyland A, Dramsdahl H, Kaaresen PI. Acute osteomyelitis in children: A population based study 1965 to 1984. Scand J Infect Dis 1988;30:573-7.
7. Frederiksen B, Christiansen P, Knudsen FU. Acute osteomyelitis and septic arthritis in the neonate, risk factor and outcome. Eur J Pediatr 1993;152(7):577-80.
8. Taylor C. Magnetic resonance imaging in acute osteomyelitis in children. Pediatr Infect Dis J 2002;21:869-72.
9. Bennet OM, Nanmyak SS. Acute septic arthritis of the hip joint in infancy and childhood. Clin Orthop 1992;281:123-32.
10. Alexander CJ. The etiology of juvenile spondyloarthritis. Clin Radiol 1970;21:178-87.
11. O’Brien TM, Mc Manus F. Discitis The irritable back of childhood. Ir J Med Sci 1983; 152:404-8.
12. Fernandez M, Carrol CL, Baker CJ. Discitis and vertebral osteomyelitis in children: an 18 year review. Pediatrics 2000;105(6):1299- 304.
13. Garron E, Viehweger E, Launay F, Guillaume J M, Louve JL, Bollini G. Nontubercolous spondylodiscitis in children. J Pediatr Orthop 2002;22:321-8.
14. Abuamara S, Louis JS, Guyard MF, Barbier- Frebourg N, Torcques S, Lechevallier J, Mallet E. Kingella kingae osteoarticular infection in children. A report of a series of eight new cases. Arch Pediatr 2000;7:927-32.
15. Dodman T, Robson J, Pincus D. Kingella kingae infections in children. J Paediatr Child Health 2000;36:87-90.
16. Del Santo M, Malorgio C, Not T, Maranzana G, Cerasoli G, Facchini S, Zennaro F, Ventura A. Vertebral osteomyelitis in 2 children. Clin Pediatr 2002;41(9):711-3.
17. Milocco C, Facchini S, Leone V, Ciambra R, Pocecco M. Scintigrafia ossea e lesioni infiammatorie del rachide in età pediatrica. Medico e Bambino (pagine elettroniche) 2002; 21(8).
18. Ramos OM. Chronic osteomyelitis in children. Pediatr Infect Dis J 2002;21(5):431-2.
19. Dagan R. Management of acute hematogenous osteomyelitis and septic arthritis in the pediatric patients. Pediatr Infect Dis J 1993;12:90-8.
20. Peltola H, Unkila-Kallio L, Kallio MJ. Simplified treatment of acute staphylococcal osteomyelitis of childhood. Pediatrics 1997;99: 846-9.
21. Jaberi FM, Shahcheraghi GH, Ahadzadeh M. Short-term intravenous antibiotic treatment of acute hematogenous bone and joint infection in children: a prospective randomized trial. J Pediatr Orthop 2002;22:317-20.
2. Cole WG, Dalziel RE, Leitl S. Treatment of acute osteomyelitis in childhood. J Bone Joint Surg 1982;64B(2):218-23.
3. Yang Cl, Wang SM, Yang YJ, Tsai CH, Liu CC. Septic arthritis in children: relationship of causative pathogens, complications, and outcome. J Microbiol Immunol Infection 2003;36: 41-6.
4. Bonhoeffer J, Haeberle B, Schaad UB, Heininger U. Diagnosis of acute haematogenous osteomyelitis and septic arthritis: 20 years experience at the University Children’s Hospital Basel. Swiss Med Wkly 2001;131:575-81.
5. Unkila-Kallio L, Kallio MJT, Eskola J, Peltola H. Serum C-reactive protein, erythrocyte sedimentation rate, and with blood cell count in acute osteomyelitis in children. Pediatrics 1994;93:59-62.
6. Dahl LB, Hoyland A, Dramsdahl H, Kaaresen PI. Acute osteomyelitis in children: A population based study 1965 to 1984. Scand J Infect Dis 1988;30:573-7.
7. Frederiksen B, Christiansen P, Knudsen FU. Acute osteomyelitis and septic arthritis in the neonate, risk factor and outcome. Eur J Pediatr 1993;152(7):577-80.
8. Taylor C. Magnetic resonance imaging in acute osteomyelitis in children. Pediatr Infect Dis J 2002;21:869-72.
9. Bennet OM, Nanmyak SS. Acute septic arthritis of the hip joint in infancy and childhood. Clin Orthop 1992;281:123-32.
10. Alexander CJ. The etiology of juvenile spondyloarthritis. Clin Radiol 1970;21:178-87.
11. O’Brien TM, Mc Manus F. Discitis The irritable back of childhood. Ir J Med Sci 1983; 152:404-8.
12. Fernandez M, Carrol CL, Baker CJ. Discitis and vertebral osteomyelitis in children: an 18 year review. Pediatrics 2000;105(6):1299- 304.
13. Garron E, Viehweger E, Launay F, Guillaume J M, Louve JL, Bollini G. Nontubercolous spondylodiscitis in children. J Pediatr Orthop 2002;22:321-8.
14. Abuamara S, Louis JS, Guyard MF, Barbier- Frebourg N, Torcques S, Lechevallier J, Mallet E. Kingella kingae osteoarticular infection in children. A report of a series of eight new cases. Arch Pediatr 2000;7:927-32.
15. Dodman T, Robson J, Pincus D. Kingella kingae infections in children. J Paediatr Child Health 2000;36:87-90.
16. Del Santo M, Malorgio C, Not T, Maranzana G, Cerasoli G, Facchini S, Zennaro F, Ventura A. Vertebral osteomyelitis in 2 children. Clin Pediatr 2002;41(9):711-3.
17. Milocco C, Facchini S, Leone V, Ciambra R, Pocecco M. Scintigrafia ossea e lesioni infiammatorie del rachide in età pediatrica. Medico e Bambino (pagine elettroniche) 2002; 21(8).
18. Ramos OM. Chronic osteomyelitis in children. Pediatr Infect Dis J 2002;21(5):431-2.
19. Dagan R. Management of acute hematogenous osteomyelitis and septic arthritis in the pediatric patients. Pediatr Infect Dis J 1993;12:90-8.
20. Peltola H, Unkila-Kallio L, Kallio MJ. Simplified treatment of acute staphylococcal osteomyelitis of childhood. Pediatrics 1997;99: 846-9.
21. Jaberi FM, Shahcheraghi GH, Ahadzadeh M. Short-term intravenous antibiotic treatment of acute hematogenous bone and joint infection in children: a prospective randomized trial. J Pediatr Orthop 2002;22:317-20.