Doctor insights on:
Mssa Osteomyelitis Treatment
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
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
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
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?
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
Which treatment for osteomyelitis of a patient with sickle cell disease and the osteomyelitis is caused by salmonella?
Is there a doctor or facility in us that is fully dedicated to treatment and management of osteomyelitis? Not interested in general ortho surgeons.
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
What is the best treatment for osteomyelitis which origin is a bacterial infection in the upper leg (bacteroides)?
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
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
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
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
What are the alternative treatment for possible chronic bone infection in a below knee amputation?
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
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
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
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
Yes: Some people suffer from that from dental abcess. ...Read more
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
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
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
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
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
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
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
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
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
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