Osteomielitis kronis yang terabaikan selama 15 tahun pada usia dewasa: laporan kasus

I Putu Oka Buda Yadnya; Anak Agung Ngurah Ronny Kesuma; I Komang Agus Krisna Saputra; I Komang Mahendra Laksana Mendra

doi:10.15562/ism.v13i2.1372

Osteomielitis kronis yang terabaikan selama 15 tahun pada usia dewasa: laporan kasus

I Putu Oka Buda Yadnya ,

Anak Agung Ngurah Ronny Kesuma ,

I Komang Agus Krisna Saputra ,

I Komang Mahendra Laksana Mendra ,

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DOI: https://doi.org/10.15562/ism.v13i2.1372 |
Published: 2022-08-30

Abstract

Background: Osteomyelitis has its challenges in its management. Not only because it requires time and cost in treatment, but also a collaboration between doctors, the patient and the environment of family and significant person to the patient himself to achieve optimal management.

Case Description: This report was conducted to find the therapy results in a patient with a diagnosis of chronic osteomyelitis, which has suffered the patient for 15 years. This study used a case reports study. Therapy given to the 29 years old male patient with a diagnosis of chronic osteomyelitis of the right femur Cierny Mader IVA was debridement and incision, as well as giving empirical antibiotics according to culture results. The result of the treatment was satisfactory.

Conclusion: The patient’s condition improved, and no complaints were reported. The patient can do activities with an assistive device.

Latar Belakang: Osteomielitis memiliki tantangan tersendiri dalam penatalaksanaanya, selain karena membutuhkan waktu dan biaya dalam pengobatan, dibutuhkan kerjasama antara dokter, pasien dan lingkungan baik itu keluarga ataupun orang terdekat pasien itu sendiri agar dapat mencapai penatalaksanaan yang optimal.

Deskripsi Kasus: Laporan ini bertujuan untuk mengetahui hasil pemberian terapi pada pasien dengan diagnosa osteomielitis kronis yang sudah diderita oleh pasien sejak 15 tahun yang lalu. Penelitian ini menggunakan metode laporan kasus. Terapi yang diberikan kepada pasien laki-laki 29 tahun dengan diagnosa osteomielitis kronis femur kanan cierny mader IVA berupa debridemen dan insisi, disertai pemberian antibiotik empirik sesuai hasil kultur. Hasil dari pemberian terapi tersebut cukup memuaskan.

Kesimpulan: Pasien mengalami perbaikan kondisi dan tidak didapatkan keluhan serta pasien dapat beraktifitas dengan alat bantu

References

Panteli M, Giannoudis P V. Chronic osteomielitis: What the surgeon needs to know. EFORT Open Rev. 2016;1(5):128–35.
Kremers HM, Nwojo ME, Ransom JE, Wood-Wentz CM, Melton LJ 3rd, Huddleston PM 3rd. Trends in the epidemiology of osteomyelitis: a population-based study, 1969 to 2009. J Bone Joint Surg Am. 2015;97(10):837-845.
Indira SA, Lokarjana L, Pohan DK. Gambaran Pasien Osteomielitis Kronis di Bagian Bedah Ortopedi RSUP Dr. Hasan Sadikin Bandung [Skripsi]. Repository Unjani Cimahi; 2017:1-11.
Adidharma AAGB, Asmara AAGY, Dusak IWS. Gambaran Tata Laksana Terapi Pasien Osteomielitis di RSUP Sanglah April 2015 – Oktober 2016: Sebuah Studi Deskriptif. Jurnal Medika Udayana. 2020;9(4):67-74.
Chen L, Hou H, Zhang L, Pan Q. Refractory chronic osteomielitis of femur: A case report. Med Case reports Rev. 2021;3(3):1–4.
Chuah SK, Bajuri MY, Mohd Nor F. Chronic Osteomyelitis Revisited: A Case Report. Cureus. 2019;11(6):e5023.
Hatzenbuehler J, Pulling TJ. Diagnosis and management of osteomielitis. Am Fam Physician. 2011;84(9):1027–1033.
Pande KC. Optimal management of chronic osteomielitis: Current perspectives. Orthop Res Rev. 2015;7:71–81.
Utari AP, Oktavia D, Setyohadi B. Chronic Osteomielitis of Wrist Joint in An Immunocompromised Host. Indonesian Journal of Rheumatology. 2014;5(1):33–37.
Anggayanti NA, Sjamsudin E, Sylvyana M, Rizki KA. The management of osteomyelitis at mandible due to neglected fracture: A case report from Hasan Sadikin Hospital, Bandung-Indonesia. Bali Medical Journal. 2018;7(3):556-559.
Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E; Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group. Recommendations for the treatment of osteomyelitis. Braz J Infect Dis. 2014;18(5):526-534.
Geurts J, Hohnen A, Vranken T, Moh P. Treatment strategies for chronic osteomyelitis in low- and middle-income countries: systematic review. Trop Med Int Health. 2017;22(9):1054-1062.

[1] Panteli M, Giannoudis P V. Chronic osteomielitis: What the surgeon needs to know. EFORT Open Rev. 2016;1(5):128–35.

[2] Kremers HM, Nwojo ME, Ransom JE, Wood-Wentz CM, Melton LJ 3rd, Huddleston PM 3rd. Trends in the epidemiology of osteomyelitis: a population-based study, 1969 to 2009. J Bone Joint Surg Am. 2015;97(10):837-845.

[3] Indira SA, Lokarjana L, Pohan DK. Gambaran Pasien Osteomielitis Kronis di Bagian Bedah Ortopedi RSUP Dr. Hasan Sadikin Bandung [Skripsi]. Repository Unjani Cimahi; 2017:1-11.

[4] Adidharma AAGB, Asmara AAGY, Dusak IWS. Gambaran Tata Laksana Terapi Pasien Osteomielitis di RSUP Sanglah April 2015 – Oktober 2016: Sebuah Studi Deskriptif. Jurnal Medika Udayana. 2020;9(4):67-74.

[5] Chen L, Hou H, Zhang L, Pan Q. Refractory chronic osteomielitis of femur: A case report. Med Case reports Rev. 2021;3(3):1–4.

[6] Chuah SK, Bajuri MY, Mohd Nor F. Chronic Osteomyelitis Revisited: A Case Report. Cureus. 2019;11(6):e5023.

[7] Hatzenbuehler J, Pulling TJ. Diagnosis and management of osteomielitis. Am Fam Physician. 2011;84(9):1027–1033.

[8] Pande KC. Optimal management of chronic osteomielitis: Current perspectives. Orthop Res Rev. 2015;7:71–81.

[9] Utari AP, Oktavia D, Setyohadi B. Chronic Osteomielitis of Wrist Joint in An Immunocompromised Host. Indonesian Journal of Rheumatology. 2014;5(1):33–37.

[10] Anggayanti NA, Sjamsudin E, Sylvyana M, Rizki KA. The management of osteomyelitis at mandible due to neglected fracture: A case report from Hasan Sadikin Hospital, Bandung-Indonesia. Bali Medical Journal. 2018;7(3):556-559.

[11] Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E; Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group. Recommendations for the treatment of osteomyelitis. Braz J Infect Dis. 2014;18(5):526-534.

[12] Geurts J, Hohnen A, Vranken T, Moh P. Treatment strategies for chronic osteomyelitis in low- and middle-income countries: systematic review. Trop Med Int Health. 2017;22(9):1054-1062.

Osteomielitis kronis yang terabaikan selama 15 tahun pada usia dewasa: laporan kasus

Abstract

References

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