Osteomyelitis (OM): Infection of bone with ongoing inflammatory destruction
Usually bacterial, but fungal OM does occur
Could be acute or chronic
Primarily in ch...
Mainly nonspecific symptoms
Pain: Localized, deep, dull, and throbbing; occurs with and without movement
Fever and chills; may be absent ...
Empiric antibiotic treatment in ED
Cultures should guide ...
Patients with acute OM should be admitted.
Patients with chronic OM usually require admission for surgical procedures, débridement, and obtaining bone cultures an...
WBC may be normal in many cases.
Radiographs may be normal in the 1st 2–3 wk of symptoms.
Wound cultures are low yield in guiding antibiotic therapy.
Butalia S, Palda VA, Sargeant RJ, et al. Does this patient with diabetes have osteomyelitis of the lower extremity? JAMA. 2008;299(7):806–813.
Hatzenbuehler J, Pulling TJ....
730.00 Acute osteomyelitis, site unspecified
730.10 Chronic osteomyelitis, site unspecified
730.20 Unspecified osteomyelitis, site unspecified
730.28 Unspecified osteomyelitis, other specified ...
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