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Acute Osteomyelitis (Osteomielitis Akut)

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Osteomyelitis is a bacterial infection of the bone and the bone marrow. The disease may occur as a result of direct invasion through a penetrating wound or an open fracture, but hematogenous spread of infection from other infected areas is more common. Staphylococcus aureus is the most common infecting organism. Acute hematogenous osteomyelitis is primary a disease of growing bones and, therefore, of children. The long bones are most frequently involved and the characteristic site is the metaphyseal region. Early diagnosis must be made on clinical feature based on the signs and symptoms of increasing pain and local tenderness near the end of a long bone combined with systemic manifestations of infection, i.e. malaise, anorexia and fever. During the first few days of illness, there is no concrete radiographic evidence of bone infection. Acute hematogenous osteomyelitis is one of the most serious infection of the musculoskeletal system. It is important, therefore, that the patient should be admitted to hospital for intensive treatment as soon as the clinical diagnosis is strongly suspected.

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Majalah Kedokteran Indonesia,45(5)1995:307-310

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: ., 1995

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osteomyelitis

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