Infection of any bone
Most commonly occurs in the metaphysis of a long bone (especially the distal femur or proximal tibia)
One of the most common invasive bacterial infect...
Persistent, increasing pain and tenderness over the affected bone
Restricted use of the involved limb (pseudoparalysis may be the only sign in a neonate), refusal to bear weight, or li...
Empiric antibiotics should cover the most likely pathogens considering patient age, history of presentation, physical findings, and underlying medical conditions.
Empiric therapy sh...
Most children who receive appropriate treatment have no long-term sequelae.
Inflammatory markers (ESR and CRP) are typically measured serially until they normalize...
Arnold JC, Cannavino CR, Ross MK, et al. Acute bacterial osteoarticular infections: eight-year analysis of C-reactive protein for oral step-down therapy. Pediatrics. 2012;130(...
730.20 Unspecified osteomyelitis, site unspecified
730.00 Acute osteomyelitis, site unspecified
730.10 Chronic osteomyelitis, site unspecified
730.25 Unspecified osteomyelitis, pelvic region an...
Q: Can children with osteomyelitis present without fever and with normal CBCs and inflammatory markers?
A: Fever along with leukocytosis and elevated inflammatory markers (CRP and ESR) are common i...
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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...