[Osteomyelitis in drepanocytosis: epidemiology, diagnosis and treatment. 66 cases, Niamey].
From January 2001 to June 2003, 66 cases of osteomyelitis in sickle cell disease were collected in the two (2) main hospitals of Niamey (the HNN and the HNL). The sex ratio is 1.27 in favor of the masculine sex. Children payed the heaviest tribute to this. An effect 63.6% patients belong to the group of 0 to 5 years. The consultation is related in 71.21% of cases. This situation would explain itself by the weak level of instruction and income at the more part of families investigated. A door of entrance is identified positively that in 9.09% of cases. The vaso-occlusive crisis is the main factor encouraging and represents 31.57% of antecedents in report with cases of osteomyelitis. Multiple focal localization are observed at 15.15% of patients. Diaphysis are more frequent involved (31.70% of cases).. Staphylococci are the most frequent germs (35.71%) follow salmonellas (14.28%). The medical treatment is used very extensively, notably in the acute osteomyelitis where 100% of patients benefited some with 63.15% of good results.
Service de Chirurgie Hopital National de Lamorde, Niamey, Niger. bseynil@caramail.com
B S
BS
Souna
H
H
Abarchi
S A
SA
Karadji
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000755:Anemia, Sickle Cell / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D002648:Child; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D009548:Niger / Q000453:epidemiology; D010019:Osteomyelitis / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology / Q000628:therapy; D011203:Poverty; D011446:Prospective Studies; D012307:Risk Factors; D012475:Salmonella / Q000302:isolation & purification; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D017678:Sex Distribution; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D013210:Staphylococcus / Q000302:isolation & purification