Top
40
Doctor insights on: Mssa Osteomyelitis Treatment

Share
1

1
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

Dr. Peter Ihle
275 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


3

3
Why does the antibiotic treatment for osteomyelitis take so long?

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

4

4
How long will it take to heal completely from osteitis pubis or osteomyelitis pubis with the correct treatment? Is it possible to heal from this?

8 weeks: So both can be cured the key is the diagnosis. For osteomyelitis would like to culture the particular bacteria that is causing the problem. ...Read more

5

5
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

6

6
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

7

7
Is there a doctor or facility in us that is fully dedicated to treatment and management of osteomyelitis? Not interested in general ortho surgeons.

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

8

8
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

9

9
What is the best treatment for osteomyelitis which origin is a bacterial infection in the upper leg (bacteroides)?

What is the best treatment for osteomyelitis which origin is a bacterial infection in the upper leg (bacteroides)?

Let me explain: Treatment for osteomyelitis is well documented, we start patient on special antibiotic and before that we take a sample and send to the lab to find what the best antibiotic we should use for microbe. ...Read more

10

10
What is the treatment for a bone infection?

What is the treatment for a bone infection?

Depends: This may require a lengthy course of antibiotics, possibly intravenously and may need to be combined with surgery. It will depend on which bone is involved, what the organism causing the infection is, what the status of your immune system is, and other factors. May need consultation with an infectious diseases doctor and an orthopedist. ...Read more

11

11
What is the best treatment for chronic recurrent multifocal osteomylitis; nsaid, s don't work? Is methotrexate an appropriate treatment for a 12 yr old

What is the best treatment for chronic recurrent multifocal osteomylitis; nsaid, s don't work? Is methotrexate an appropriate treatment for a 12 yr old

See details: Osteomyelitis is caused by infection and is treated with antibiotics. It also on occasion needs surgical debridement. Methotrexate makes infection worse. ...Read more

12

12
Best treatment for maxilla bone infection?

Best treatment for maxilla bone infection?

Osteomyelitis: This infection of the maxillary bone will best be managed by an oral surgeon, hopefully in collaboration with an infectious diseases expert. The most common organism is actinomyces species, but any of the oral/periodontal flora may be involved. As in most forms of osteomyelitis a combination of surgical debridement combined with long tern antibiotic will be necessary. Good luck. ...Read more

13

13
Can you die of a small bone infection in the foot even after IV treatment?

Can you die of a small bone infection in the foot even after IV treatment?

It's possible: If the IV antibiotic was not capable of eradicating the entire infection and/or if you picked up a new infection while you were recuperating from the other, it is possible to develop a bone infection that could potentially cause sepsis which could lead to death. This is true for all patients but especially for those who are immunocompromised with diseases like diabetes, kidney disease or cancers. ...Read more

14

14
What are the alternative treatment for possible chronic bone infection in a below knee amputation?

What are the alternative treatment for possible chronic bone infection in a below knee amputation?

Antibiotics: Antibiotics are the main treatment option. If these don't work opening the area surgically and cleaning it may be necessary. In severe cases the amputation may need to be redone at a higher level. ...Read more

15

15
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

16

16
Is osteomyelitis painful?

Can be: If pus in bone is under great pressure bone pain is likely to occur. If cortex or perisoteium of bone contains abscess formation pain is also an issue due to pressure. Sometimes purulent material can cause infarction of bone, another sometimes painful process. ...Read more

17

17
What are the symptoms of osteomyelitis?

What are the symptoms of osteomyelitis?

Ususally pain: Swelling and redness particularly if bone close to skin surface.Fever. If pus in bone is under great pressure bone pain is likely to occur. If cortex or periosteum of bone contains abscess formation pain is also an issue due to pressure. Sometimes purulent material can cause infarction of bone, another sometimes painful process. Blood tests usually show elevated white blood cells and inflammation ...Read more

18

18
What are the symptoms of osteomyelitis?

What are the symptoms of osteomyelitis?

Ususally pain: Swelling and redness particularly if in bone close to skin surface. If pus in bone is under great pressure bone pain is likely to occur. If cortex or periosteum of bone contains abscess formation pain is also an issue due to pressure. Sometimes purulent material can cause infarction of bone, another sometimes painful process. Blood tests usually show elevatted white blood cells and inflammation. ...Read more

19

19
What are the reasons that my daughter could have developed osteomyelitis?

What are the reasons that my daughter could have developed osteomyelitis?

Germs in blood: A blood infection can get to the bone, especially if there's an injury, infection, iatrogenic trauma as in joint replacement or a weakness there. Also note there is blood tat crosses the epiphyseal plates, prepuberty. ...Read more

20

20
Is vertebral osteomyelitis contagious?

Is vertebral osteomyelitis contagious?

Depends: Vertebral osteomyelitis by itself is usually not contagious. If associated with tuberculosis or other systemic infection can get infection from secretions of pulmonary component of disease. MRSA (methicilllin resistent staphylococcus aureus) can involve bone and have skin lesions that can be contagious. ...Read more

21

21
Can osteomyelitis occur in your sinuses?

Yes by extension: Infection starts in paranasal sinuses and infects contiguous bone causing secondary osteomyelitis. ...Read more

23

23
Is osteomyelitis caused by long term ingrown tonail?

Is osteomyelitis caused by long term ingrown tonail?

Yes: Ingrown toenails most commonly involve big toe, but can involve any toenail. Nail becomes ingrown when one or both sides grow into the skin of toe. Skin then becomes red, swollen and painful. Sometimes nail actually breaks the skin and causes a localized infection which may become more acutely painful and cause drainage from the side of the toe. If ignored, can progress to osteomyelitis. ...Read more

24

24
Why is the mandible more susceptible to osteomyelitis?

Continuity?: Ask to an infectious disease specialist. Maybe continuity with the teeth and dental abscesses which are close to it. Other reason may be the structure of the bone at the jaw. Pts. On chemotherapy receiving medications for osteoporosis i.e. Alendronate have a particular weak structure of the bone there. ...Read more

25

25
Is it possible to get osteomyelitis outside of the bone?

Osteomyelitis: By definition is infection specifically of the bone, but the infection can spread to other areas via the bloodstream or direct extension. If it did spread to other non-bony regions it would no longer be termed osteomyelitis in those areas. ...Read more

26

26
What is the worst outcome of osteomyelitis in the spinal cord?

What is the worst outcome of osteomyelitis in the spinal cord?

Paralysis: It can result in collapse of the vertebra with compression of the spinal cord. The paralysis in this case would be permanent. ...Read more

27

27
Can someone describe to me refractory osteomyelitis of the mandible?

Jaw infection: Refractory osteomyelitis of the lower jaw is a term to describe an infection of bone that is resistant to the treatment methods and/or antibiotics that have been used. Refractory means persistent and resistant to treatment methods. In other words, it is not getting better in spite of attempts to treat it. ...Read more

28

28
What is the prognosis for diabetes with cellulitis and osteomyelitis?

What is the prognosis for diabetes with cellulitis and osteomyelitis?

Osteomyelitis: Not sure I can answer that easily. Osteomyelitis is a bone infection and unfortunately these are more difficult to treat in diabetics. A lot depends on the status of your blood flow. The antibiotics need good blood flow to work so if you have good flow it generally improves the prognosis. Also, good sugar control helps. ...Read more

29

29
What is the drug for people with diabetes, cellulitis and osteomyelitis?

What is the drug for people with diabetes, cellulitis and osteomyelitis?

Many: There isn't just one medication used to treat cellulitis and osteomyelitis. Intravenous antibiotics and surgery are normally used to treat osteomyelitis and cellulitis can be treated with either intravenous or oral antibiotics. ...Read more

30

30
What is the drug for people with diabetes, cellulitis and osteomyelitis?

What is the drug for people with diabetes, cellulitis and osteomyelitis?

Bad shape: Hi. That's some bad shape you're in. Most likely your cellulitis & osteomyelitis are in a foot. You need a wound clinic, wound debridement, longterm IV antibiotics, assure adequate arterial supply (may require revascularization), maybe hyperbaric oxygen, and really good, tight blood sugar control. I hope this can be healed and not require amputation; amputation is not the end of the world, however ...Read more

31

31
Why do I have enhancing edema after being treated for osteomyelitis c5-6?

Why do I have enhancing edema after being treated for osteomyelitis c5-6?

Marrow signal: It is normal to have edema on an MRI if you have or had osteomyelitis. Edema refers to a change in the signal characteristics of the bone marrow from normal. When a vertebrae gets infected, which is what osteomyelitis is, the signal of the marrow changes in the inflammatory process that the body uses to fight the infection. This normalizes over several months after the infection is cured. ...Read more

32

32
Please help! What is the drug for diabetes with cellulitis and osteomyelitis?

Please help! What is the drug for diabetes with cellulitis and osteomyelitis?

Imprecise?: You take whatever meds you need to get sugar controlled

and you take correct antibiotics for bacteria they culture from/ or assume is causing your cellulitis. ...Read more

33

33
What is the significance of saying that osteomyelitis is a "focal infection"?

What is the significance of saying that osteomyelitis is a "focal infection"?

Localized to 1 place: It means that it's an infection of a specific, localized part of the body (in this case, bone) rather than a generalized infection. ...Read more

34

34
What is osteomyelitis?

INFECTION IN THE BOE: Usually a bacteria but can be fungal, etc. ...Read more

35

35
Could you get osteomyelitis twice?

Could you get osteomyelitis twice?

Yes: May get recurrent osteomyelitis in same location if not treated thoroughly. May get osteomyelitis at different site. Multifocal osteo. Can occur simultaneously in multiple locations. MRSA osteomyelitis has tendency to be multifocal. CRMO, chronic recurrent multifocal osteomyeltis can affect 2 to 11 or more sites. Not necessarily at same time not caused by bacteria.Autoimmune process treated with NSAIDs ...Read more

36

36
What does it mean to osteomyelitis?

What does it mean to osteomyelitis?

Bone infection: Osteomyelitis is infection in bone. Infections can reach bone via bloodstream or spreading from nearby tissue. Osteomyelitis can also begin in the bone itself if an injury exposes the bone to bacteria. ...Read more

Dr. Ziad Akl Dr. Akl
2 doctors agreed:
37

37
How do I know that osteomyelitis is gone?

Dr. Ziad Akl Dr. Akl
2 doctors agreed:

Tricky: Usually we follow inflammatory markers like the sed rate. When it normalizes it usually means the infection is gone. ...Read more

38

38
If I have osteomyelitis would I be in pain?

If I have osteomyelitis would I be in pain?

Can have pain: If pus in bone is under great pressure bone pain is likely to occur. If cortex or perisoteium of bone contains abscess formation pain is also an issue due to pressure. Sometimes purulent material can cause infarction of bone, another sometimes painful process. ...Read more

39

39
How serious of a condition is osteomyelitis?

How serious of a condition is osteomyelitis?

VERY: Very, very serious. See your doctor!

Dr. Latva ...Read more

40

40
What is the definition or description of: Osteomyelitis?

Bone infection: Osteomyelitis refers to an infection that involves bone. Bone infection can develop within a bone or can develop when an infection spreads from an adjacent structure to the bone. Bone infections can sometimes take several weeks of antibiotics to cure and may also require surgical procedures to be performed to clean them out as well. ...Read more

Dr. Payam Rafat
242 Doctors shared insights

Osteomyelitis (Bone Infection) (Definition)

An infection of the bone where bacteria invade the bone and bone marrow. ...Read more