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23.04.2024 | Osteomyelitis | Originalien

Arthritis und Osteomyelitis im Kindes- und Jugendalter – bakteriell und nichtbakteriell

verfasst von: Dr. med. T. Hospach, T. Kallinich, L. Martin, T. v. Kalle, F. Reichert, H. J. Girschick, C. M. Hedrich

Erschienen in: Zeitschrift für Rheumatologie

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Zusammenfassung

Die bakterielle Arthritis und Osteomyelitis sind in der Regel akute Erkrankungen, die sich dadurch von der oft schleichend verlaufenden nichtbakteriellen Osteomyelitis unterscheiden. Allerdings gibt es auch Überlappungen sowohl bei weniger akut verlaufenden bakteriellen Erkrankungen als auch bei nichtbakteriellen Knochenentzündungen. Die überschneidenden klinischen Phänomene sind durch ähnliche pathophysiologische Prozesse zu erklären. Während bei den bakteriell bedingten Erkrankungen die Erregergewinnung und empirische oder gezielte antiinfektiöse Therapie im Vordergrund stehen, ist für die nichtbakteriellen Erkrankungen kein auslösendes Agens bekannt. Die Diagnostik basiert auf dem Ausschluss von Differenzialdiagnosen, klinischen Scores und der MRT-Bildgebung. Eine aktivitätsadaptierte antiinflammatorische Therapie ist indiziert.

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Titel: Arthritis und Osteomyelitis im Kindes- und Jugendalter – bakteriell und nichtbakteriell
verfasst von: Dr. med. T. Hospach
T. Kallinich
L. Martin
T. v. Kalle
F. Reichert
H. J. Girschick
C. M. Hedrich
Publikationsdatum: 23.04.2024
Verlag: Springer Medizin
Schlagwörter: Osteomyelitis
Arthritis
Erschienen in: Zeitschrift für Rheumatologie
Print ISSN: 0340-1855
Elektronische ISSN: 1435-1250
DOI: https://doi.org/10.1007/s00393-024-01504-z

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