The Review of Our Chronic Osteomyelitis Cases

• Main Authors: Özlem KANDEMİR, Volkan ÖZTUNA, Mehmet ÇOLAK, Elif ŞAHİN, Ali KAYA
• Format: Article
• Language: English
• Published: Bilimsel Tip Yayinevi 2002-12-01
• Series: Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi
• Subjects: Chronic osteomyelitis; Risk factors; Clinical findings; Laboratory findings
• Online Access: http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2002-7-4-246-251.pdf

In this study, we have presented the laboratory and clinical findings, and treatment and follow-up results of 32 patients with osteomyelitis treated in both Infectious Disease Clinics and Orthopaedics & Traumatology departments of our university hospital between January 1999 and December 2001. Eleven female patients with a mean age of 45.9 ± 20.0 (15-80), and twenty-one male patients with a mean age of 53.4 ± 15.5 (28-82) were included in this study. The patients have had several risk factors rendering them predisposed to osteomyelitis. Staphylococcus aureus was the most frequently isolated microorganism (%46). The mean pretreatment and posttreatment C-reactive protein levels and sedimentation rates were different and the difference was statistically significant; but we could not find any difference between the white blood cell counts (p= 0.000, p= 0.022, p= 0.258 respectively). Despite of the medical and surgical treatment modalities, recurrence of the disease was detected in 6 patients. The mean time of treatment was 10.2 ± 9.3 (5-24) weeks and the mean follow up was 15.5 ± 7.5 (6-27) months. In conclusion, chronic osteomyelitis needs long term follow-up because of high rate of recurrence and resistance to treatment.