Skeletal and surgical evidence for acute osteomyelitis in non-adult individuals

Osteomyelitis is a non-specific infection of the bone and bone marrow. In the past acute osteomyelitis (AO) led to high mortality especially in non-adults. Nevertheless, its diagnosis in archaeological populations is rare. Documented individuals with known cause of death offer a unique opportunity t...

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Autores principales: Santos, A. L., Suby, Jorge Alejandro
Formato: Artículo publishedVersion
Lenguaje:Inglés
Publicado: John Wiley & Sons Ltd 2015
Materias:
ACUTE INFECTION
PALAEOPATHOLOGY
PORTUGAL
PRE-ANTIBIOTIC
SURGICAL TREATMENT
Arqueología
Historia y Arqueología
HUMANIDADES
Acceso en línea:http://hdl.handle.net/11336/58142
http://suquia.ffyh.unc.edu.ar/handle/11336/58142
Aporte de:
Suquía - Instituto de Antropología de Córdoba (IDACOR, CONICET y UNC) de Universidad Nacional de Córdoba
id I10-R181-11336-58142
record_format dspace
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-181
collection Suquía - Instituto de Antropología de Córdoba (IDACOR, CONICET y UNC)
language Inglés
topic ACUTE INFECTION
PALAEOPATHOLOGY
PORTUGAL
PRE-ANTIBIOTIC
SURGICAL TREATMENT
Arqueología
Historia y Arqueología
HUMANIDADES
spellingShingle ACUTE INFECTION
PALAEOPATHOLOGY
PORTUGAL
PRE-ANTIBIOTIC
SURGICAL TREATMENT
Arqueología
Historia y Arqueología
HUMANIDADES
Santos, A. L.
Suby, Jorge Alejandro
Skeletal and surgical evidence for acute osteomyelitis in non-adult individuals
topic_facet ACUTE INFECTION
PALAEOPATHOLOGY
PORTUGAL
PRE-ANTIBIOTIC
SURGICAL TREATMENT
Arqueología
Historia y Arqueología
HUMANIDADES
description Osteomyelitis is a non-specific infection of the bone and bone marrow. In the past acute osteomyelitis (AO) led to high mortality especially in non-adults. Nevertheless, its diagnosis in archaeological populations is rare. Documented individuals with known cause of death offer a unique opportunity to study this condition. This article aims to describe the bone lesions in non-adults diagnosed with AO at the Coimbra University Hospital (CUH) and now belonging to the Coimbra Identified Skeletal Collection (CISC). Moreover, mortality rates and demographic profiles for individuals aged ≤18 years old and diagnosed with AO in the CUH, between 1923 and 1929, were also determined. The 5 (1%) non-adults in the CISC with AO listed as cause of death were selected for this study, and their bones were analysed macroscopically and radiologically. The skeletal remains of one individual revealed a small area of new bone formation in the shaft of the left femur. Radiography of this bone showed a radio-opaque area in the diaphysis. The other four individuals show evidence of surgical treatment, responsible for many cases of disability in the past. In the 7-year period under analysis, 122 juveniles were diagnosed with osteomyelitis and admitted for surgery at the CUH, 43 (35.2%) of which were diagnosed with AO. Sixty-five per cent of the cases of AO occurred between the ages of 8 and 15 years, with boys twice as frequently affected as girls, and lower limb bones were involved in 91% of AO cases. AO was responsible for 76.9% of the deaths. This study of pre-antibiotic non-adults may help to recognize skeletal signs of AO and their surgical treatment in unidentified skeletal remains.
format Artículo
Artículo
publishedVersion
author Santos, A. L.
Suby, Jorge Alejandro
author_facet Santos, A. L.
Suby, Jorge Alejandro
author_sort Santos, A. L.
title Skeletal and surgical evidence for acute osteomyelitis in non-adult individuals
title_short Skeletal and surgical evidence for acute osteomyelitis in non-adult individuals
title_full Skeletal and surgical evidence for acute osteomyelitis in non-adult individuals
title_fullStr Skeletal and surgical evidence for acute osteomyelitis in non-adult individuals
title_full_unstemmed Skeletal and surgical evidence for acute osteomyelitis in non-adult individuals
title_sort skeletal and surgical evidence for acute osteomyelitis in non-adult individuals
publisher John Wiley & Sons Ltd
publishDate 2015
url http://hdl.handle.net/11336/58142
http://suquia.ffyh.unc.edu.ar/handle/11336/58142
work_keys_str_mv AT santosal skeletalandsurgicalevidenceforacuteosteomyelitisinnonadultindividuals
AT subyjorgealejandro skeletalandsurgicalevidenceforacuteosteomyelitisinnonadultindividuals
bdutipo_str Repositorios
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