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Doctor insights on: Alternative Treatments For Acute Osteomyelitis

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I am recently diagnosis with acute osteomyelitis accrdg to bone biopsy result but no bacteria found, MRI and indium scan was done may but negative?

I am recently diagnosis with acute osteomyelitis accrdg to bone biopsy result but no bacteria found, MRI and indium scan was done may but negative?

Suprising: Sometimes organisms are not localized in osteomyelitis because of partial treatment with antibiotics.Another reason is osteomyelitis is actually subacute and not actually acute.Patients with chronic recurrent multifocal osteomyelitis(CRMO)can get osteomyelitis in multiple sites with no bacteria that is autoimmune process.Surprising that MRI is normal. Indium is usually positive with no bacteria ...Read more

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Dr. Peter Ihle
255 doctors shared insights

Bone Infection (Definition)

Osteomyelitis is an infection of the bone. Osteo is derived from the greek osteon..Inflammation or infection. A broad range of organisms can cause infection from bacteria, to viruses (less common), to fungi (mycotic). Acute and chronic infections exist. Long term IV treatment with antibiotics (or antifungals or other agents) are needed. In my experience no less than 8 weeks ...Read more


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Alternative treatments for possible chronic bone infection in a below knee amputation?

Alternative treatments for possible chronic bone infection in a below knee amputation?

Antibiotics/ Surgery: Bone infections are difficult to treat. Antibiotics are used to try to clear the infection. If this is not successful, surgery may be needed to remove the infected portion of bone. ...Read more

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What is the treatment of salmonella osteomyelitis?

What is the treatment of  salmonella osteomyelitis?

Salmonella osteo: This depends upon whether this is acute vs. Chronic osteomyelitis. In the chronic form you may need input from an orthopedical surgeon for debridement of devitalized bone combined with a long-term antibiotic preferrably given iv, although if sensitive to a fluorinated quinolone like Cipro (ciprofloxacin) this may be effective orally over at least a 4 wk course. ...Read more

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What is the best treatment for chronic sclerosing osteomyelitis?

What is the best treatment for chronic sclerosing osteomyelitis?

Treatment: Hyperbaric oxygen, antibiotics, surgery and eliminate the source of infection if not done already. ...Read more

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Why does the antibiotic treatment for osteomyelitis take so long?

See below: Most cases of osteomyelitis in adults need surgery and antibiotics. Because it takes 6 weeks for debrided bone to be covered by soft tissue, and experience that shorter courses of antibiotics have a higher relapse rate, 4-6 weeks of IV antibiotics is recommended. In models of osteomyelitis 4 weeks of antibiotics was more effective in sterilizing bone than 2 weeks. ...Read more

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What is the best treatment for chronic osteomyelitis (left mandible)?Can someone describe to me what is chronic sclerosing osteomyelitis?

What is the best treatment for chronic osteomyelitis (left mandible)?Can someone describe to me what is chronic sclerosing osteomyelitis?

See below: Chronic sclerosing osteomyelitis is an inflammatory response of the jaw bone to chronic low grade bacterial infection from caries or periodontal disease. It causes the jaw bone to expand. Treatment include eliminating the source of infection, antibiotics, hyperbaric oxygen and reconstructive surgery for significant jaw deformity. ...Read more

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Is there a doctor or facility in us that is fully dedicated to treatment and management of osteomyelitis? Not interested in general ortho surgeons.

Not that I know of: There r wound healing clinics in most larger cities or associated with multi specialty groups. They do combine specialists in infectious disease, wound healing specialists & orthopedic surgeons. If u r dealing with bone there will b an orthopedist involved. ...Read more

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Which treatment for osteomyelitis of a patient with sickle cell disease and the osteomyelitis is caused by salmonella?

Which treatment for osteomyelitis of a patient with sickle cell disease and the osteomyelitis is caused by salmonella?

Ask infectious Disea: Osteomyelitis usually require antibiotics for 6 weeks preferable intravenously because the poor penetration of most antibiotics to the bone. The best answer is given by an infectious disease specialist. ...Read more

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3 months IV treatment for osteomyelitis following acdf, new MRI shows same swelling, does this mean infection is still in the bones?

3 months IV treatment for osteomyelitis following acdf, new MRI shows same swelling, does this mean infection is still in the bones?

Not necessarily: An MRI is a very sensitive test and even in a well treated infection responding well to antibiotics, marrow changes can be seen for even 6 months. Because of this, blood markers such as CRP is the more common way to follow infection response in the spine. If any question, an infectious disease specialist can be helpful. ...Read more

Dr. Payam Rafat
227 doctors shared insights

Osteomyelitis (Bone Infection) (Definition)

Osteomyelitis is an infection of the bone where bacteria invade the bone and bone marrow. ...Read more