The acute hematogenous osteomyelitis continues to remain at present one of the actual problems to pediatric surgery, being characterized by severe course, difficulty of the early diagnostics and frequency of unfavourable outcomes, becoming chronic and complications. We investigated the levels of CRP, IL-1beta, TNF-alpha in 74 children with acute hematogenous osteomyelitis. In the first (control) group children had standart therapy, in the second (main) group children had standart therapy with Licopid. The level of TNF-alpha in the main group on 7 days after operation was 91,8 + or - 4,1 pcg/ml, on 14 days -- 44,3 + or - 8,3 pcg/ml. The level of TNF-alpha in the control group on 14 days was 92,0 + or - 2,0 pcg/ml (p<0,01). The level of IL-1beta in the main group on 7 days -- 120,0 + or - 30,8 pcg/ml, on 14 days -- 80,0 + or - 15,3 pcg/ml. The level of IL-1beta in the control group on 14 days -- 100,5 + or - 2,4 pcg/ml. The level of CRP in the main group on 14 days -- 22,9 + or - 4,1 mg/ml. The level of CRP in the control group on 14 days -- 12,9 + or - 0,4 mg/ml (p<0,05). The use the complex treatment of acute hematogenous osteomyelitis in children has allowed to obtain a good results of the treatment.
Download full-text PDF |
Source |
---|
J Am Acad Orthop Surg
January 2025
From the Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Lim, Prasad, Salimy, Melnic, and Bedair), and the Department of Orthopaedic Surgery, Newton-Wellesley Hospital, Newton, MA (Lim, Prasad, Salimy, Melnic, and Bedair).
Introduction: Unicompartmental knee arthroplasty (UKA) is increasingly favored in clinical practice due to its favorable long-term survival rates, positive clinical outcomes, and expedited recovery. Periprosthetic joint infections (PJIs) remain a formidable complication in knee arthroplasty, and guidelines for the management are limited. This study aims to assess the failure rates of débridement, antibiotics, and implant retention (DAIR) in UKAs, providing insights into optimal treatment management and infection-free survival for PJI in this context.
View Article and Find Full Text PDFJ Infect Public Health
December 2024
Department of Pediatric Infectious Diseases, Ministry of National Guard-Health Affairs (MNGHA), King Abdullah Specialist Children Hospital, Riyadh, Saudi Arabia; King Abdullah International Medical Research Centre, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia; Department of Pathology and Laboratory Medicine, King Abdulaziz Medical City (KAMC), MNGHA, Riyadh, Saudi Arabia.
Necrotizing fasciitis is a potentially life-threatening infection that can lead to rapid muscular and fascial necrosis, often resulting in sepsis. In addition to the rapid disease progression, diagnosing this disease in children can be challenging as they cannot accurately communicate their symptoms. Spontaneous necrotizing fasciitis secondary to Clostridial infection has rarely been described in the literature but occurs in neutropenic patients with significant morbidity and mortality from myonecrosis and gas gangrene.
View Article and Find Full Text PDFJ Hosp Med
January 2025
Department of Pediatrics, Section of Infectious Diseases, University of Washington, Seattle, Washington, USA.
Administrative databases are powerful tools for pediatric research but lack patient-level microbiology results. This study aimed to determine the accuracy of pathogen discharge diagnosis codes for children hospitalized with acute hematogenous musculoskeletal infections (MSKIs). Medical records for 244 children hospitalized with acute hematogenous MSKIs were manually reviewed to determine which bacterial pathogen, if any, was identified for each MSKI based on microbiology results obtained during the hospitalization.
View Article and Find Full Text PDFCureus
December 2024
Department of Pediatrics, Center Hospital of the National Center for Global Health and Medicine, Shinjuku, JPN.
Coagulase-negative (CoNS) is a rare cause of UTIs in children and is often regarded as a contaminant in urine samples. We report a case of acute focal bacterial nephritis (AFBN) and bacteremia caused by following an upper respiratory infection in a pediatric patient. The patient, a four-year-old girl, presented with fever, cough, and a runny nose two days before being referred to our hospital due to persistent fever and poor oral intake.
View Article and Find Full Text PDFIDCases
October 2024
Yunnan Provincial Infectious Disease Hospital, 28 km from Shi 'an Highway, Yunnan Province, China.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!