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首页> 外文期刊>Open Journal of Urology >Septic Chronic Multifocal Osteomyelitis in Children: A Challenging Presentation of Osteomylitis in a Low Income Country
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Septic Chronic Multifocal Osteomyelitis in Children: A Challenging Presentation of Osteomylitis in a Low Income Country

机译：儿童败血症性慢性多灶性骨髓炎：低收入国家中具有挑战性的骨髓炎表现

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Background: The aim of this study was to describe the clinical, biological and x-ray presentation of Septic Chronic Multifocal Osteomyelitis (SCMO) and discuss the therapeutic difficulties of this pathology in an African Sub-Saharan teaching hospital. Patients and Methods : A retrospective study was conducted in the Orthopedics and Trauma department of the university teaching hospital of Bobo-Dioulasso (Burkina Faso). Over a period of two years, we selected all cases of chronic osteomyelitis. We studied the epidemiological, diagnostic and therapeutic aspects of SCMO cases. Results: Eleven cases of SCMO were identified. The mean age of the patients was 11.8 years and the sex ratio was 1.75. There were 7 rural patients. The mean time to visit the hospital was 158 days. The most common reasons for consultation were pain (10 cases), swelling (9 cases), and fever (7 cases). Two were sickle cell patients. The most affected bones were the femur (10 cases), the tibia (9 cases) and the fibula (6 cases). The most frequent specific radiological lesions were sequestra (6 cases) followed by pandiaphysitis. Staphylococcus aureus was the most common aetiology. Treatment combined antibiotherapy and surgery (sequestrectomy and/or bone curettage and/or fistulectomy). Hip dislocations, pathological fractures and bone defect complicated the course of this disease. The therapeutic results was good in 3 patients and bad in 5 patients; the other 3 patients were lost to follow-up. Conclusion: Septic chronic multifocal osteomyelitis is a rare but formidable form of osteomyelitis in children. Therapeutic outcomes are often poor in hospitals with limited resources. The best strategy is prevention through early diagnosis and aggressive treatment of acute osteomyelitis.
机译：背景：本研究的目的是描述败血症性慢性多灶性骨髓炎（SCMO）的临床，生物学和X线表现，并讨论在非洲撒哈拉以南教学医院中这种病理学的治疗困难。 患者与方法：回顾性研究是在Bobo-Dioulasso（布基纳法索）大学教学医院的骨科和创伤科进行的。在两年的时间里，我们选择了所有慢性骨髓炎病例。我们研究了SCMO病例的流行病学，诊断和治疗方面。 结果：确定了11例SCMO病例。患者的平均年龄为11.8岁，性别比为1.75。有7名农村患者。平均去医院的时间是158天。会诊的最常见原因是疼痛（10例），肿胀（9例）和发烧（7例）。两名是镰状细胞患者。受影响最大的骨头是股骨（10例），胫骨（9例）和腓骨（6例）。最常见的特定放射学损害是死骨（6例），其次是泛音炎。 金黄色葡萄球菌是最常见的病因。治疗结合了抗生物疗法和外科手术（半截骨切除术和/或骨刮除术和/或瘘管切除术）。髋关节脱位，病理性骨折和骨缺损使该病的病程复杂化。治疗效果好3例，差5例。其他3例患者失去随访。 结论：败血症性慢性多灶性骨髓炎是一种罕见但可怕的儿童骨髓炎。在资源有限的医院中，治疗效果通常较差。最好的策略是通过早期诊断和积极治疗急性骨髓炎进行预防。

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