A 21-year-old male asked:
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can a septic shock patient develop osteomyelitis?

5 doctor answers
Dr. Larry Lutwick
48 years experience Infectious Disease
Yes: But it can go both ways, bacteremia can seed the bone or acute osteomyelitis can cause bacteremia.
Answered on Apr 1, 2019
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Dr. Ankush Bansal
16 years experience Internal Medicine
that's not correct - septic shock is the result of an infection. It is NOT the cause of an infection. Shock is the physiologic response (or inability to respond thereof).
Oct 30, 2012
Dr. Dennis Clifford
A Verified Doctor answered
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Yes.: Infection in the bone is called osteomyelitis and can occur from bacteria in the blood lodging in the small blood vessels of the bone and starting an infection there.
Answered on Oct 30, 2012
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1 comment
Dr. Ankush Bansal
16 years experience Internal Medicine
that wasn't the question - the question was if shock causes an infection - it doesn't.
Oct 30, 2012
Dr. Ankush Bansal
16 years experience Internal Medicine
Backwards: Osteomyelitis is an infection of the bone. Infection causes septic shock (you are septic). Septic shock does not cause infection. So, osteomyelitis may lead to septic shock but not the other way around. However, another infection (like pneumonia) can lead to osteomyelitis (eg, ribs or sternum) and then result in septic shock.
Answered on Oct 29, 2012
Dr. Rada Ivanov
30 years experience Pulmonary Critical Care
Yes: If a septic shock patient survives, the infection may have seeded to any place in the body including the bone (osteomyelitis), particularly f there are pre-existing deep wounds. Though it is usually the other way around, osteomyelitis is the source of sepsis.
Answered on Oct 30, 2012
Dr. Gerald Mandell
51 years experience Nuclear Medicine
Yes: With septic shock usually bactemia or bacteria in blood stream throughout body. Bacteremia can ocur related to primary osteomyelitis resulting in bacteremia and ibacteremia can seed bone causing osteomyelitis. 1% of patients with septic shock have osteomyelitis.
Answered on Sep 23, 2018

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