Browsing by Author "Jiménez Laverde, Ana Belén"

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    “Artritis séptica complicada con osteomielitis”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2016-08-01) Jiménez Laverde, Ana Belén; Jiménez Velasco, Miguel Ángel Dr.
    Bone and joint infection infectious disease more common in childhood, difficult to recognize in the early stages and pose problems in both diagnosis and therapeutic management, medical and surgical. Osteoarticular infections with a prevalence in developed countries 22 cases / 100,000 children. The male: female ratio is 1.2: 3.7 times. There predisposing factors that favor the development of an infection osteoarticular: Trauma, surgery, penetrating wounds, skin infections, prematurity, the majority occur in children without underlying disease. Osteomyelitis is usually unifocal, affecting the metaphyses of long bones. In the case of septic arthritis, single joint child, Joint Lowlife Being the most frequently affected Members. The microorganism more frequently in all ages is S. aureus, from birth to 3 months of age, the important pathogens S. agalactiae and Enterobacteriaceae especially E. coli, K. kingae prevalent is children between 3 and 5 months year old. The duration of treatment is 4-6 weeks author. Can fever without being present. More significant symptom is pain; immobility of the joint, the diagnosis is mainly clinical, based on markers of inflammation, and Image Analysis of synovial fluid. The citobioquímico of articular fluid is important, but not specific. The definitive diagnosis is established Crops joint fluid, blood or bone material. It must perform a simple radiograph of the affected area with the possibility of detecting other diseases or chronic changes. Ultrasound is useful in the initial assessment by its high sensitivity for the detection of increased articular fluid, if we suspect osteomyelitis, radiology is negative, you should perform a bone scan, magnetic resonance imaging test is more specific image.