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  1. Calcaneal osteomyelitis : an analysis of aetiology and pathogenic organisms.

    Article - En anglais

    Forty-nine cases of calcaneal osteomyelitis in 47 patients were evaluated between 1984 and 1993.

    Data on all osteomyelitis patients was collected prospectively in a computer data base.

    This data was reviewed to determine aetiology, pathogenic organisms and host characteristics of the patients.

    Aetiology was divided into five groups :

    • diabetes mellitus (n=21) ;

    • central nervous system lesion (n=10) ;

    • post-traumatic (n=9) ;

    • nail puncture wounds (n=5) ;

    • and other (n=2).

    Each case was staged using the Cierny-Mader classification for osteomyelitis :

    • IIA (n=3) ;

    • IIB (n=16) ;

    • IIIA (n=10) ;

    • IIIB (n=18) ;

    • IVB (n=2).

    Pathogenic organisms were categorized by each type of aetiology and host (A=uncompromised, B=compromised).

    Compromised hosts and patients with impaired sensation had more organisms cultured than uncompromised hosts.

    Treatment consisted of culture specific antibiotics (all) ; irrigation and debridement/partial calcanectomy (29) ; debridement with free flap (three) ; below knee amputation (10) and above knee amputation (one).

    All amputations were done in B hosts with impaired sensation.

    Eight of the 11 amputations were in diabetic patients.

    Patients with impaired sensation more commonly had multiple organisms cultured from their wounds and had a higher rate of amputation.

    Mots-clés Pascal : Ostéite, Calcanéum, Infection, Etiologie, Exploration microbiologique, Relation hôte agent, Epidémiologie, Etude longitudinale, Traitement, Homme, Membre inférieur, Système ostéoarticulaire pathologie, Ostéopathie, Pied pathologie, Bactériose, Agent pathogène

    Mots-clés Pascal anglais : Osteitis, Calcaneum, Infection, Etiology, Microbiological investigation, Host agent relation, Epidemiology, Follow up study, Treatment, Human, Lower limb, Diseases of the osteoarticular system, Bone disease, Disease of the foot, Bacteriosis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0464971

    Code Inist : 002B05B02J. Création : 22/03/2000.