Flashcards in Infections of Bone Deck (6)
An infection of bone. usually either blood borne or after an operation or open fracture.
Most commonly Staph aureus or salmonella in sickle cell patients.
Risk factors for Osteomyelitis?
Diabetes. Sickle cell anaemia
IV drug user
HIV or drug immunosuppression
Investigations for Osteomyelitis?
MRI is the modality of choice with a sensitivity of 90-100%
Managment of Osteomyelitis?
Generally horrible once established.
Give flucloxacillin for 6wks (or longer) or clindamycin if allergic. May require surgical debridement
Presentation of Osteomyelitis
Usually presents with deep seated bone pain +- septic arthritis. WCC and inflammatory markers may be normal