OSTEOMYELITIS (II

[بسم الله الرحمن الرحيم
تكمله للموضوع السابق OSTEOMYELITIS (I
,وهنا هتكلم عن الأنواع بصوره مفصله أنشأ الله

INFANTILE OSTEOMYELITIS
Etiology
- Staphylococcus aureus infection
- Streptococci infection
- Pneumococci infection

Clinical Featuresr
- High fever
- Redness & swelling over the midface
- Poor feeding by child
- Subperiosteal abscess


Investigations

- X-ray show initially minimal bone loss

● Treatment

- Antibiotics
- Incision & drainage.




ACUTE PYOGENIC OSTEOMYELITIS


[Etiology

- odontogenic infections
- infection from an odontogenic cyst
- infection from an extraction wound

Clinical Features
- Mandible more involved
-fever, chills , tachycardia, increased respiratory rate
- Patient dehydrated
- WBC count increased


Radiographic Features

No bony changes seen
Bone scan- intense uptake


Management

In the Acute phase – rest, adequate nutrition with high protein & calorie diet.
-immobalisation of the jaw using barton bandage.
Postoperatively – continued use of antibiotics, warm saline mouth rinses, adequate hydration and rest.



HRONIC SUPPURATIVE OSTEOMYELITIS


Two types i) Type I : primary inflammatory organism of low virulence.
ii) Type II : Secondary to acute.
• Usually not as severe as acute osteomyelitis
• Discharge, sinus , sequestration
• X –ray moth eaten appearrence involucrum

• Treatment long term antibiotics
surgery sequestrectomy, saucersation
• Complications
injury to nerve, fracture.


CHRONIC NON SUPPURATIVE SCLEROSING OSTEOMYELITIS


• Types:
i) Focal scelorising osteomyelitis
ii) Diffuse sclerosing osteomyelitis
• Radiographic Features
sclerotic radioopacities & lytic areas seen.
• Management
hard sclerotic mass sectioned into smaller pieces & removed with a curette.
cavity packed with idoform gauze.
antibiotic therapy for 2 weeks

انتضرو الباقي ونزيد من التفاصيل أنشأ الله في (III) osteomyelitis