Serial serum C‐reactive protein to monitor recovery from acute hematogenous osteomyelitis in children
作者:
IRMELI ROINE,
IDIS FAINGEZICHT,
ADRIANO ARGUEDAS,
JOSE HERRERA,
FRANCISCO RODRIGUEZ,
期刊:
The Pediatric Infectious Disease Journal
(OVID Available online 1995)
卷期:
Volume 14,
issue 1
页码: 40-43
ISSN:0891-3668
年代: 1995
出版商: OVID
关键词: Osteomyelitis;C-reactive protein;erythrocyte sedimentation rate;clinical course;short term outcome;radiographic changes
数据来源: OVID
摘要:
Serial C-reactive protein (CRP) and erythrocyte sedimentation rate determinations were compared with clinical course and outcome at 1 to 2 months in 63 children with acute hematogenous osteomyelitis. High CRP values (163 \pm 108 mg/liter) on admission began to descend after the second day of treatment. From the fourth day on higher (P= 0.03 toP= 0.0001) CRP values distinguished a complicated from an uneventful course of acute hematogenous osteomyelitis and the patients symptomatic at follow-up (P= 0.003 toP= 0.0001) from asymptomatic ones. Children who developed extensive radiographic changes had elevated CRP values for a longer time (32 \pm 13 days) than children with typical changes (11 \pm 6 days,P= 0.0001). Erythrocyte sedimentation rates did not identify the type of clinical course but higher values on Days 4 to 7 distinguished children symptomatic at follow-up (P= 0.02) from asymptomatic ones. Monitoring serial CRP values can alert the physician to complications and predict outcome earlier than clinical signs or roentgenograms.
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