Xiaowen, a 14-year-old Miao teenager, accidentally fell down while running out of the school dormitory, and his calf was slightly injured. At first, I thought it was just a small bump, but I didn't expect that the right calf would soon have a large area of ulceration, and then the shin of the lower leg was completely "blackened", and then the entire tibia was detached, and the flesh and blood were exposed, and I couldn't bear to look at it. After the diagnosis of the hospital, it was diagnosed with "chronic tibial osteomyelitis". This sudden illness made Xiaowen unable to walk, and in the blink of an eye, it was 4 years, consuming a beautiful juvenile time, and the whole family also embarked on a long road to seek medical treatment.
After large and small treatment in the middle, the disease is still not controlled, fortunately, God pays off, Xiao Wen's illness is cured, and he can basically walk normally.
So don't usually touch the small bumps, Dr. Zhao of the Orthopedic Department reminds that adolescent limbs are inexplicably red, swollen and painful, and be wary of acute osteomyelitis.
And this kind of disease that makes Xiaowen bedridden for 4 years, almost amputated or even paid the price of life, is called chronic osteomyelitis. The disease generally develops from acute osteomyelitis.
Acute osteomyelitis is caused by pyogenes entering the bloodstream, and the common lesions are upper respiratory tract infections, otitis media, etc., and the causative bacteria are often Staphylococcus aureus. Sprains and contusions and other local tissue damage, is the main cause of osteomyelitis, the main pathological changes are bone destruction and dead bone formation, severe cases of bone inside, outside are soaked in pus, lose blood supply, the formation of large pieces of dead bone.
Acute osteomyelitis is more common in children under 12 years of age, accounting for 70% of children under 10 years of age, and often occurs in the upper and lower femur segments of the tibia, followed by humerus and iliacs, and often has a history of trauma before the onset of the disease. This may be related to children's exercise more and their susceptibility to micro-trauma inducing bacteria into the bloodstream.
Acute osteomyelitis is characterized by an acute onset, high fever, chills and local redness and pain in the bones, treatment is not difficult, as long as early detection and early diagnosis and treatment, inflammation can be effectively controlled. If allowed to turn into chronic osteomyelitis, dead bone forms. The reason why Xiaowen's situation is so serious is related to the fact that it was not standardized, effective and timely treatment in the early stage.
The possibility of acute osteomyelitis should be considered when children present with unprovoked limping or walking difficulties, fever, local tenderness, or local redness and swelling with osteomyelitis. If not diagnosed and treated in time, it may develop into chronic myelitis, resulting in dead bones and even bone loss, affecting normal life, study and work.