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04447nas a22003137a 4500 |
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OSt |
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20210420163451.0 |
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| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1888-6116 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Pseudoartrosis humeral en fractura obstétrica tras osteomielitis aguda hematógena = |
| Remainder of title |
Humeral pseudoarthrosis in obstetric fracture after acute hematogenic osteomyelitis / |
| Statement of responsibility, etc. |
López Martínez JJ, Salcedo Cánovas C, Alarcón Zamora A |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.143 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Introducción:La infección neonatal es una causa importante de morbimortalidad en la primera semana de vida a consecuencia de la exposición a microorganismos genitales maternos durante el parto. La sepsis neonatal se presenta como enfermedad fulminante y multisistémica, destacando la infección por klebsiella pneumoniae, con una mortalidad aproximada del 60%. Su asociación con un cuadro de osteomielitis aguda hematógena (OAH) es de difícil diagnóstico, con posibles complicaciones severas. Este cuadro de OAH asociado a fractura obstétrica precisa de intervención quirúrgica, tanto por su entidad infecciosa como por su posible evolución a pseudoartrosis. Caso clínico: Recién nacido a término con pérdida de bienestar fetal e ingreso en UCI por sepsis neonatal, con absceso en brazo izquierdo que drena espontáneamente y toma de cultivo positiva para klebsiella pneumoniae. Se comienza tratamiento antibiótico con cefotaxima y vancomicina sin mejoría tras 20 días, decidiéndose tratamiento quirúrgico con limpieza y estabilización mediante fijador externo con evolución favorable de su cuadro sistémico. A nivel de la fractura obstétrica se apreció falta de unión ósea con evolución a pseudoartrosis atrófica, por lo que se decidió reintervención con aporte de injerto óseo autólogo de cresta ilíaca y nueva fijación externa, con unión completa del foco a los dos meses y resolución del caso. Conclusión: La fractura obstétrica asociada a OAH es un cuadro poco frecuente que debe ser diagnosticado y tratado quirúrgicamente, con posibles complicaciones como la pseudoartrosis del foco fracturario. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Introduction: Neonatal infection is an important morbimortality cause that occurs in the first week of life and it is a consequence to maternal genital microorganisms during partus. Neonatal sepsis is a sudden and multisystemic disease, standing out the infection by klebsiella pneumoniae, with an approximate mortality of 60%. Its association with acute hematogenic osteomyelitis has a difficult diagnose with severe income complications. Acute hematogenic osteomyelitis associated with an obstetric fracture needs surgical treatment because of its infectious importance and its possible evolution to pseudoarthrosis. Case report: Newborn with a loss of fetal wellness and entrance to intensivity care unit because of neonatal sepsis, with an abscess in his left arm that drains spontaneously and a positive biopsy to klebsiella pneumoniae. Antibiotic treatment with cefotaxime and vancomycin is started without any improvement after 20 days. Surgical treatment is decided with a cleaning procedure and stabilisation with external fixator, with a proper evolution of his sistemic clinic. Related to the obstetric fracture, non-union is appreciated with an evolution to atrophic pseudoarthrosis. A new surgical intervention is decided with the contribution of autologous bone graft from iliac crest and a new external fixator, with a complete bone union in two months and the clinical case solution. Conclusion: Obstetric fracture associated to acute hematogenic osteomyelitis is a low frequency episode that must be diagnosed and surgically treated with external fixation and autologous bone graft, with possible complications as pseudoarthrosis. |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
osteomielitis aguda hematógena |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
sepsis neonatal |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
pseudoartrosis |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
fractura obstétrica |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
acute hematogenic osteomyelitis |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
neonatal sepsis |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
pseudoarthrosis |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
obstetric fracture |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2013, v. 24, n. 3, p. 141-143 |
| Title |
Trauma |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| Uniform Resource Identifier |
<a href="http://www.mapfre.com/fundacion/html/revistas/trauma/v24n3/docs/Articulo1.pdf">http://www.mapfre.com/fundacion/html/revistas/trauma/v24n3/docs/Articulo1.pdf</a> |
| Link text |
Acceso al documento |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
