An acute or chronic bone infection with associated inflammation; can occur as a result of hematogenous seeding, contiguous spread of infection, or direct inoculation into intact bone...
Fever, chills, pain, swelling, and erythema, particularly in acute osteomyelitis. These features may be absent in chronic osteomyelitis.
Hematogenous osteomyelitis
Elicit a history of c...
In clinically stable patients, delay initiation of empiric antibiotics unt...
Malhotra R, Chan CS, Nather A. Osteomyelitis in the diabetic foot. Diabet Foot Ankle. 2014;5. doi:10.3402/dfa.v5.24445. [View Abstract on OvidMed...
M86.03 Acute hematogenous osteomyelitis, radius and ulna
M86.032 Acute hematogenous osteomyelitis, left radius and ulna
M86.01 Acute hematogenous osteomyelitis, shoulder
M86.069 Acute hematoge...
Hematogenous osteomyelitis is usually monomicrobial. Osteomyelitis due to contiguous spread or direct inoculation is usually polymicrobial.
Pain associated with acute osteomyelitis is t...
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FIG. 3.15. This child sustained a dog bite to the foot, which was sutured at another institution. On follow-up, he had both cellulites (A) and a phalangeal fracture (B), possibly complicated by osteomyelitis.
FIG. 3.15. This child sustained a dog bite to the foot, which was sutured at another institution. On follow-up, he had both cellulites (A)...
FIG. 11.47. Osteomyelitis. Osteomyelitis caused by Salmonella species progressed rapidly in this child with sickle cell anemia, leading to periosteal elevation (one of the earlier bony changes) and bony erosions (a late finding).
FIG. 11.47. Osteomyelitis. Osteomyelitis caused by Salmonella species progressed rapidly in this child with sickle cell anemia, leading to...
FIG. 22.40. A: This 12-year-old girl had been bitten by her dog and later hospitalized for cellulitis that improved on intravenous antimicrobials. B: When the infection recurred, a radiograph was obtained that showed a fracture from the initial dog bite. The patient was treated for osteomyelitis, and the infection resolved.
FIG. 22.40. A: This 12-year-old girl had been bitten by her dog and later hospitalized for cellulitis that improved on intravenous antimic...
<bold>Figure 11.2. Osteomyelitis of the proximal tibia.</bold> Frontal <bold>(A)</bold> and lateral <bold>(B)</bold> views demonstrate a destructive lesion in the diametaphyseal region of the proximal tibia (<italic>arrows</bold>). There is nothing characteristic about this lesion to allow confident diagnosis without a biopsy.
<bold>Figure 11.2. Osteomyelitis of the proximal tibia.</bold> Frontal <bold>(A)</bold> and lateral <bold>(B...
<bold>Figure 11.52. Joint space involvement. A.</bold> Tophaceous gout. <bold>B.</bold> Osteomyelitis and joint space infection in a diabetic patient. These extensive destructive lesions involve both sides of the joint. This signifies that the process is either an arthropathy or an infection.
<bold>Figure 11.52. Joint space involvement. A.</bold> Tophaceous gout. <bold>B.</bold> Osteomyelitis and joint sp...