Osteomyelitis depends on the type of pathogens, their virulence, the location of inflammation, the patient’s age and its immune defenses. The process can be acute or chronic. It can result from infection of the bone via the blood or as a complication after open fractures.
Hematogenous osteomyelitis occurs primarily in children, rare in adults. Infection occurs through the blood in the form of metastasis from the primary foci of infection, which most often is unhealed umbilical cord, inflammation of the middle ear, tonsillitis, abscesses, boils the skin. Most commonly it’s called Staphylococcus aureus. The course of the disease largely depends on the vascularization of bone, which changes with age. Therefore distinguished 3 types: baby, child and adult.
Baby character is characterized by frequent arthritis. Children form occurs from 2 years to the end of growth. In this type of the disease almost never comes to arthritis, but the inflammation process may involve whole long bone shafts to form necrotic tissue. An adult is rare, usually as a history of exacerbation of inflammation in childhood.
The onset is acute with high fever, sometimes headache, nausea, vomiting. Later, there may be pain in extremity, saving her, warming the skin. The child’s condition is serious and requires hospital treatment. Forms of violent conduct, leading to death within a few days, are now rare, thanks to immediate treatment, including antibiotics. Osteomyelitis in children requires hospital treatment.
Osteitis after open fractures formed as a result of infection of the bone and soft tissues such as muscles, fascia. Prevention of inflammation is a thorough cleaning of outbreaks of infection, good immobilization of bone fragments (stable fixation), leading to their union, and the use of antibiotics.
Arthritis, inflammation rarely occurs as blood, since the circulating bacteria settle in the synovium and joint capsule. But often happens when the joint infection due to penetrating wounds, infection of the joint when the joint punctures or intraarticular administration of drugs. Initially, the inflammation is located in the synovial membrane, moving along the whole joint. The disease is acute with high fever, joint pain and swelling, limitation of his mobility.
In the blood, there is an increased number of white blood cells.
The diagnosis is established after the puncture of the pond. In the event of a large amount of pus in the pond, the patient requires hospital treatment with incision and irrigation pond and the general administration of antibiotics.