Characteristics of Pyogenic Musculoskeletal Infections in Older Children and Adolescents.
Orthopedics
; 43(4): e291-e298, 2020 Jul 01.
Article
en En
| MEDLINE
| ID: mdl-32501517
The characteristics and clinical consequences of pyogenic bone and joint infections in older children and adolescents have received little attention. This study evaluated the presentation and complications of musculoskeletal infections involving the pelvis and extremities in children older than 10 years. Thirty patients 10 to 17 years old (mean, 12.7 years old) were treated for musculoskeletal infections. Mean time to diagnosis was 9.2 days. Prior to correct diagnosis, 83% were assessed by at least 1 outpatient provider. At the time of admission, 55% were weight bearing and 93% were afebrile. Twenty-eight percent had a multifocal infection. More than one-third had serious medical complications or orthopedic sequelae; compared with patients without complications, this group had a significantly higher admission C-reactive protein and longer hospital stay. Symptoms of musculoskeletal infection common among young children may be absent in adolescents. Axial imaging is recommended to identify adjacent or multifocal disease. The Kocher criteria are less sensitive for septic hip arthritis in the adolescent population. Prompt recognition and treatment are critical to avoid medical and musculoskeletal complications. [Orthopedics. 2020;43(4):e291-e298.].
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Enfermedades Óseas Infecciosas
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Artritis Infecciosa
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Infecciones por Bacterias Grampositivas
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Infecciones por Bacterias Gramnegativas
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Miositis
Tipo de estudio:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Child
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Female
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Humans
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Male
Idioma:
En
Revista:
Orthopedics
Año:
2020
Tipo del documento:
Article