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Die kindliche Osteomyelitis

Pediatric osteomyelitis

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Zusammenfassung

Die bakterielle Osteomyelitis im Kindesalter muss schnellstmöglich diagnostiziert und unverzüglich sowie ausreichend lang antibiotisch behandelt werden. Chirurgische Interventionen können notwendig werden. Säuglinge und Kleinkinder sowie immungeschwächte Patienten erkranken häufiger an hämatogenen Knocheninfektionen als immungesunde Patienten. Dagegen ist bei immungesunden Patienten in gutem Allgemeinzustand das Vorliegen einer autoinflammatorischen nichtbakteriellen Osteitis nach neuen Erkenntnissen die häufiger zu stellende Diagnose und differenzialdiagnostisch unbedingt in Erwägung zu ziehen. Diagnostisches und therapeutisches Vorgehen bei Verdacht auf eine kindliche Osteomyelitis werden dargestellt.

Abstract

Bacterial osteomyelitis in children must be diagnosed quickly and requires immediate and adequate antibiotic treatment. Surgical interventions may be necessary. Infants as well as immunodeficient patients suffer more often from hematogenic bone infections than immunecompetent patients. According to recent findings, autoinflammatory nonbacterial osteitis is more probable in immunecompetent patients in good general condition and should always be considered as a differential diagnosis. Diagnostic and therapeutic approaches are presented when childhood osteomyelitis is suspected.

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Authors and Affiliations

  1. Dr. von Haunersches Kinderspital, Ludwig-Maximilians-Universität, München, Deutschland

    A. Jansson

  2. Orthopädische Klinik, Klinikum Großhadern, Ludwig-Maximilians-Universität, Marchioninistraße 15, 81377, München, Deutschland

    V. Jansson &  A. von Liebe

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  1. A. Jansson
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  2. V. Jansson
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  3. A. von Liebe
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Correspondence to A. von Liebe.

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Jansson, A., Jansson, V. & von Liebe, A. Die kindliche Osteomyelitis. Orthopäde 38, 283–294 (2009). https://doi.org/10.1007/s00132-008-1402-6

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