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    Osteomielitis Akut Edit Mei

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    Raja Darmawan
    1. Osteomyelitis is an infection of bone caused by bacterial infection, most commonly occurring in children through hematogenous spread or following trauma. 2. Staphylococcus aureus is the most common causative microbe in acute osteomyelitis, while Pseudomonas is more common in chronic cases. 3. Clinical presentation includes fever, chills, fatigue, and local pain, swelling, redness, and warmth at the site of bone infection. Physical examination looks for signs of inflammation as well as impaired vascularity or mobility of the affected area.

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    Osteomielitis Akut Edit Mei

    Uploaded by

    Raja Darmawan
    77 views9 pages
    1. Osteomyelitis is an infection of bone caused by bacterial infection, most commonly occurring in children through hematogenous spread or following trauma. 2. Staphylococcus aureus is the most common causative microbe in acute osteomyelitis, while Pseudomonas is more common in chronic cases. 3. Clinical presentation includes fever, chills, fatigue, and local pain, swelling, redness, and warmth at the site of bone infection. Physical examination looks for signs of inflammation as well as impaired vascularity or mobility of the affected area.

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    1. Osteomyelitis is an infection of bone caused by bacterial infection, most commonly occurring in children through hematogenous spread or following trauma. 2. Staphylococcus aureus is the most common causative microbe in acute osteomyelitis, while Pseudomonas is more common in chronic cases. 3. Clinical presentation includes fever, chills, fatigue, and local pain, swelling, redness, and warmth at the site of bone infection. Physical examination looks for signs of inflammation as well as impaired vascularity or mobility of the affected area.

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    77 views9 pages

    Osteomielitis Akut Edit Mei

    Uploaded by

    Raja Darmawan
    1. Osteomyelitis is an infection of bone caused by bacterial infection, most commonly occurring in children through hematogenous spread or following trauma. 2. Staphylococcus aureus is the most common causative microbe in acute osteomyelitis, while Pseudomonas is more common in chronic cases. 3. Clinical presentation includes fever, chills, fatigue, and local pain, swelling, redness, and warmth at the site of bone infection. Physical examination looks for signs of inflammation as well as impaired vascularity or mobility of the affected area.

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    of 9

    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 Osteomielitis Kronik
     Enterobacteriaceae.
     Jarang: anaerobe gram-negative bacilli.
     Dental extraction has been associated with
    Streptococcus viridans infections .
    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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