OSTEOMYELITIS

Putu Anggia Dimitri Pramesti

1770121078
SGD 3

Block 4.5 Surgery

Program Studi Pendidikan Dokter
Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa
2021
Journal Reading
• Introduction
• Epidemiology
• Classification
• Pathophysiology
• Presentation
• Diagnosis
• Management
Introduction

Bone infection

Abcess

Pain
 Epidemiology

Children Hematogenous osteomyelitis, long

bones
Young adults Related to trauma or surgery
Older adults Related to arthroplasty, diabetes
mellitus, vascular disease, and
decubitus ulceration
 Classification

Osteomyelitis

Trauma, surgery,
Vascular
Hematogenous or prosthetic
insufficiency
materials
 Pathophysiology

• Hematogenous osteomyelitis (long bones) affects

metahpysis

• Poor immunity and vasculature in diabetes mellitus

increases risks of infection

• Causes : staphylococcus aureus, beta hemolytic

streptococcus, enterococci, pseudomonas, enterobacter,
e. coli, and others
 Presentation

• Pain in bony involvement

• Fever and chills (staph. aureus)

• Erythema

• Swelling

• Ulceration
 Diagnosis

Blood test CT scan MRI

Blood cultures Biopsy

Management
References
Schmmit S. 2017.
Osteomyelitis. Infect Dis Clin
N Am (31); 325–338. Viewed
28 March 2021, from:
https://pubmed.ncbi.nlm.nih.g
ov/28483044/