Osteomyelitis

Infection of bone - acute pain swelling, pathological fracture

Acute a/w inflammatory reaction, fulminant, sepsis

Chronic - present for >1 month, smouldering acute flares

• Children - S. aureus, S. pyogenes, Kingella, Haemophilus
• Contiguous - Skin (Staph, Strep), enteric (GNB, anaerobes)
• Penetrating - skin flora/ environment
• Sickle cell - Salmonella sp.

Treat with long-term antibiotics and debidement of infected bone in severe cases

 

Early detection and aggressive management are crucial to prevent complications such as bone necrosis and systemic spread of infection.