| Clinical observation of Osteomyelitis in Childhood. |
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Seong Gyoo Park, Young Suk Hong, Se Jin Kang, Sun Gyum Kim, Pyung Hwa Choi |
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Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea |
| 소아 골수염에 대한 임상적 고찰 |
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박성규, 홍영숙, 강세진, 김순겸, 최평화 |
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고려대학교 의과대학 소아과학교실 |
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Received: 15 June 1989 • Accepted: 23 September 1989 |
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| Abstract |
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After the discovery of penicillin by Fleming in 1939, the mortality rate in the acute stage of the
childhood osteomyelitis was markedly decreased. But, because of abuse & misuse of the antibiotics
and increment of resistant organisms to antibiotics, the incidence of complications, prevalance and
chronic cases tended to increase.
During the period of 12 years and 10 months extending from April, 1975 to January, 1988, we have
experienced 98 cases of childhood osteomyelitis and analyzed the clinical findings.
The results obtained were as follows:
1) Male to female ratio was 2.16 to 1 with male preponderance, and 70% of total cases were 6 to
15 years of age.
2) Most fo cases showed pain, local tenderness, swelling, local heating and limitation of range of
motion.
3) Among 98 cases of osteomyelitis, 22 cases combined with trauma (23%) and 9 cases (9%) with
respiratory tract infection.
4) The most common causative organism was Staphylococcus aureus, and this organism showed
the highest sensitivity to methicillin, gentamicin and cephalosporin.
5) The most common site of involvement was the tibia and the femur in order.
6) Among 69 cases erythrocyte sedimentation rates were elevated in 88% of cases, (elevated in 88%
of male cases and 90% of female cases)
7) Both initial X-ray findings and bone scannings were positive in 75% of cases that performed. |
| Key Words:
Osteomyelitis, Children |
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