The document discusses osteoarticular infections, including septic arthritis and osteomyelitis. It provides data on the incidence, risk factors, clinical presentation, diagnostic testing, and treatment approaches for these infections. Key points covered include the importance of joint fluid analysis and cultures in diagnosis, the surgical principles of debridement and drainage, and the role of prolonged antimicrobial therapy based on the isolated microorganism.
Giant osteoid osteoma of tibial shaft: A rare case reportApollo Hospitals
Giant osteoid osteoma of the tibial shaft is a rare entity.
Though this tumor is seen commonly in axial skeleton, so far
no conclusive report has been published on its periosteal
involvement of tibial shaft diaphysis.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Giant osteoid osteoma of tibial shaft: A rare case reportApollo Hospitals
Giant osteoid osteoma of the tibial shaft is a rare entity.
Though this tumor is seen commonly in axial skeleton, so far
no conclusive report has been published on its periosteal
involvement of tibial shaft diaphysis.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
An Unusual Presentation of Squamous Cell Carcinoma of Bilateral Temporal Bones by Titas Kar in Experiments in Rhinology & Otolaryngology
Squamous cell carcinoma of temporal bone is a rare entity, comprising of a very small percentage of all head neck tumours, mostly occurring in aged population. Bilateral presentation of tumours in both temporal bones is extremely rare and only a few cases have been reported. We report a case of bilateral squamous cell carcinoma of both temporal bones in a young adult male patient who presented very late.
https://crimsonpublishers.com/ero/fulltext/ERO.000510.php
Musculoskeletal disorders
includes the following disorders:
Bone infections: Osteomyelitis, and Septic arthritis; Disorders of foot:
Hallux valgus (bunions), Morton’s neuroma (plantar neuroma), and
Hammer toe; Muscular disorders:
Muscular dystrophy, and Rhabdomyolysis
Presentazione a cura della Dottoressa Fulvia Ceccarelli - XII° Congresso Nazionale FIMeG 2018 - The Silver Tsunami: l'anziano fra appropriatezza e farmaeconomia
An Unusual Presentation of Squamous Cell Carcinoma of Bilateral Temporal Bones by Titas Kar in Experiments in Rhinology & Otolaryngology
Squamous cell carcinoma of temporal bone is a rare entity, comprising of a very small percentage of all head neck tumours, mostly occurring in aged population. Bilateral presentation of tumours in both temporal bones is extremely rare and only a few cases have been reported. We report a case of bilateral squamous cell carcinoma of both temporal bones in a young adult male patient who presented very late.
https://crimsonpublishers.com/ero/fulltext/ERO.000510.php
Musculoskeletal disorders
includes the following disorders:
Bone infections: Osteomyelitis, and Septic arthritis; Disorders of foot:
Hallux valgus (bunions), Morton’s neuroma (plantar neuroma), and
Hammer toe; Muscular disorders:
Muscular dystrophy, and Rhabdomyolysis
Presentazione a cura della Dottoressa Fulvia Ceccarelli - XII° Congresso Nazionale FIMeG 2018 - The Silver Tsunami: l'anziano fra appropriatezza e farmaeconomia
Traditionally, obtaining tissue diagnosis from the Temporomandibular Joint (TMJ) has required invasive open techniques. In this case-series, the authors demonstrate a minimally invasive technique using arthroscopy to diagnose and treat Pigmented Villonodular Synovitis (PVNS) and pseudogout of the TMJ, followed by a review of the literature.
Neuroblastomas are rare extracranial tumors of the pediatric population arising from cells of the embryological sympathetic nervous system. These malignancies most commonly occur in the abdomen, but other sites include the chest, neck, and pelvis with a predisposition for lymphatic and hematogenous
spread. Metastasis to the bone is a poor prognostic indicator, requiring surgical excision and other extensive medical management.
Similar to SEMINARIO Infecciones osteoarticulares 2012 (20)
23. Inflamación del hueso producida por
un agente infeccioso. Puede
permanecer localizada o extenderse
por el hueso para afectar medula,
cortical, periostio o los tejidos blandos
circundantes.
Campbell, Cirugia ortopédica. Terry
Canale, et all. 11ª edición. 2007. Mosby
24. Lew y WaldvogelLew y Waldvogel
• Duración
- Aguda
- Crónica
• Fuente de infección
- Hematógena
- Contigua
- En presencia de insuf. vascular
Osteomyelitis in Long Bones, JBJS, J Bone Joint Surg Am.
2004;86:2305-2318. Lazzarini, Mader, Calhoun
35. EstudiosEstudios
• Rx AP, lat y oblicuas (10 a 14 días)
• Fistulografía
• Gammagrafía (Galio, Tec99, Indio 111)
• Tomografía
• CH, VSG, Proteínas, Tiempos,
Uroanálisis, cultivo, antibiograma,
hemocultivos, cultivo de fragmento óseo,
estudio histopatológico
Contrary to common belief, swab cultures from draining
wounds and sinus tracts can be of diagnostic benefit for two
main reasons. First, the identification of certain resistant
microorganisms (e.g., methicillin-resistant S. aureus,
vancomycin-resistant enterococcus) indicates the need for
infection control measures. Second, the isolation of S.
aureus from superficial cultures has a high degree of
correlation with deep cultures
49. Key wrote: “continuous drug over a long
period of time will lessen the amount of
discharge, but it will not cure
the disease because it cannot sterilize dead
bone or cavities with necrotic content and
rigid walls.”
Osteomyelitis in Long Bones, JBJS, J Bone Joint Surg Am.
2004;86:2305-2318. Lazzarini, Mader, Calhoun
dog or cat bite include Pasteurella multocida and Capnocytophaga spp., and in the case of a human bite, Eikenella corrodens and Fusobacterium nucleatum.77-79 Streptobacillus moniliformis, a causative agent of rat-bite fever, is occasionally isolated from the blood or synovial fluid in patients with a polyarticular arthritis after a rat bite
A, Septic arthritis of the symphysis pubis. Computedtomography of the pelvis reveals joint space widening with subchondral bone resorption and disruption of the articular cortical margins. B, Septic sacroiliac joint. Coronal T2-weighted MR image demonstrates fluid within the right sacroiliac joint, spreading superiorly and inferiorly to form soft tissue abscesses. (From: Chew FS, Maldjian C, Leffler SG. Musculoskeletal imaging: A Teaching file. Lippincott Williams & Wilkins; 1999:267, with permission.)
aAll indicated dosages are intravenous for patients with normal renal function. bTherapeutic monitoring to achieve trough levels of 15-20€mg/L is indicated. cIf culture yields methicillin-susceptible S. aureus, therapy should be narrowed to an antistaphyloccocal PCN or first generation cephalosporin. dFor patients allergic to, or intolerant of, vancomycin: linezolid or daptomycin. eFor patients with previous history of an extended-spectrum β-lactamase infection or colonization, a carbapenem is preferred over other β-lactam antimicrobials including aztreonam. fCan be given orally as ciprofloxacin 750€mg q 12 hours, or levofloxacin 750€mg q 24 hours. ABW, actual body weight; PCN, penicillin; CEPH, cephalosporin; FQ, fluoroquinolone.
Additionally, lipid preparations of amphotericin B have modestly reduced the toxicity of this drug, increasing the safety of long-term amphotericin therapy. Treatment recommendations for native joint Candida arthritis are for amphotericin B deoxycholate (0.5-1€mg/kg/day) for 2-3 weeks followed by fluconazole to complete a total duration of therapy of 6-12 months.212 Lipid-associated amphotericin B (3-5€ mg/kg/day) may be substituted for patients who are intolerant of amphotericin or exhibit amphotericin B–related nephrotoxicity. Limited experience suggests that fluconazole as initial therapy (6€mg/kg/day) and continued for 6-12 months may also be effective for joint infections due to susceptible Candida spp. Fluconazole, if used, may be given orally.
T1-weighted MR image shows abnormal signal in the disk between L2 and L3 with associated vertebral osteomyelitis. A fluid collection is located in the posterior part of L2 and L3 resulting in the elevation of the posterior ligament. A CT-guided aspirate grew Staphylococcus aureus.