In children, the long bones of the arms or legs are most often involved. In adults, the feet, spine bones vertebrae , and hips pelvis are most commonly affected. The health care provider will examine you and ask about your symptoms. The exam may show bone tenderness and possible swelling and redness in the area around the bone.
The goal of treatment is to get rid of the infection and reduce damage to the bone and surrounding tissues. Infection that occurs after joint replacement may require surgery. This is done to remove the replaced joint and infected tissue in the area. A new prosthesis may be implanted in the same operation.
More often, doctors wait until the antibiotic course is finished and the infection has gone away. If you have diabetes, it will need to be well controlled. If there are problems with blood supply to the infected area, such as the foot, surgery may be needed to improve blood flow in order to get rid of the infection.
The outlook is worse for those with long-term chronic osteomyelitis. Symptoms may come and go for years, even with surgery. Amputation may be needed, especially in people with diabetes or poor blood circulation.
Infections of bursae, joints, and bones. Goldman-Cecil Medicine. Philadelphia, PA: Elsevier; chap Bone and joint infections. URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. Health Conditions Discover Plan Connect.
Bone Infection Osteomyelitis. A bone infection, also called osteomyelitis, can result when bacteria or fungi invade a bone.
What causes osteomyelitis? What are the symptoms? How is osteomyelitis diagnosed? What are the treatments for osteomyelitis? Who is at risk for osteomyelitis? Can you prevent osteomyelitis? What is the long-term outlook? Read this next. Bone Pain. Medically reviewed by William Morrison, M.
Bone Scan. Open Wound. Medically reviewed by Andrew Gonzalez, M. Animal Bite of Finger. Medically reviewed by Stacy Sampson, D. Bone Lesion Biopsy. Discitis: Causes, Symptoms, and Diagnosis. Medically reviewed by Daniel Bubnis, M. Medically reviewed by Alana Biggers, M. Osteomyelitis can also occur from a nearby infection due to a traumatic injury, frequent medication injections, a surgical procedure or use of a prosthetic device.
In addition, individuals with diabetes who develop foot ulcers are more susceptible. In any of these situations, the organism has a direct portal of entry into the affected bone. Individuals with weakened immune systems are more likely to develop osteomyelitis. This includes people with sickle cell disease or HIV or those receiving immunosuppressive medications like chemotherapy or steroids.
Osteomyelitis can have a sudden onset, a slow and mild onset or may be a chronic problem, depending on the source of the infection. Symptoms of osteomyelitis vary, depending on the cause and whether it is a rapid or slow onset of infection.
The following are the most common symptoms of osteomyelitis; however, each individual may experience symptoms differently:. The symptoms of osteomyelitis may resemble other medical conditions or problems. Always consult your doctor for a diagnosis. The provider treating your child will first do a thorough history and physical exam that may indicate signs of osteomyelitis like those listed above.
An additional workup generally includes blood tests that look at white blood cells as well as markers for inflammation that are usually elevated during an infection. A blood culture may also be done to look for organisms in the blood that may be causing the infection. X-rays are taken of the affected area. However, they may be normal in early stages of the infection. Magnetic resonance imaging MRI or bone scans may be recommended to identify the cause of bone pain or inflammation.
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