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Doctor insights on: Osteomyelitis

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Is osteomyelitis painful?

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.

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Dr. Peter Ihle
269 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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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

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My 8 month old was diagnosed with osteomyelitis in both tibias and had to have surgery and no one could explain how it happened? How did he get it?

My 8 month old was diagnosed with osteomyelitis in both tibias and had to have surgery and no one could explain how it happened? How did he get it?

Hematogenous: This osteomyelitis was probably hematogenous or spread through the blood stream from a distant focus of infection or from a transient bacteremia. I hope your little one is all cured now.

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Is there a blood test for osteomyelitis?

Is there a blood test for osteomyelitis?

No: imaging such as X-rays and MRIs are often used to diagnose osteomyelitis. A bone biopsy can also be considered but is more invasive and generally not performed unless the imaging proves to be equivocal.

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What are the tests for osteomyelitis?

What are the tests for osteomyelitis?

Labs and radiographs: A combination of lab tests, x-rays and advanced imaging techniques are used to diagnose osteomyelitis. Physical exam is also very important to identify the injured area. Fever, chills, fatigue, pain and draining wounds can all be signs of a bone infection. Cbc, c- reactive protein, ESR are typical labs. Plain x-rays, mri's, bone scans and tagged wbc's scan are used to identify abnormal bone.

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What do you know about treating osteomyelitis and its outcome?

Very importent: To diagnose osteomyelitis early as possible, treat properly most of the time you will have good outcome.

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Can monoclonal gammopathy cause osteomyelitis?

Not realy: It's estimated that between 10 and 25 percent of people with monoclonal gammopathy of undetermined significance develop a more serious condition, such as multiple myeloma or other cancers or blood disorders. Other complications include fractures and blood clots.

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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.

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What is chronic osteomyelitis and how can you treat it?

Depends: Depends on where you have it, what bone is involved, the extent of the infecitons and your overall health, medications and previous treatments. You may need surgery to take out infected bone, then may need months of IV antibiotics, hyperbaric oxygen therapy and more of each of these depending on response. You may need multiple doctors and treatments. Good luck!

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What is chronic osteomyelitis and how can it be treated?

What is chronic osteomyelitis and how can it be treated?

Depends on type: In adults, osteomyelitis can be either acute or chronic. People with diabetes, HIV, or peripheral vascular disease are more prone to chronic osteomyelitis, which persists or recurs, despite treatment. More extensive therapy and debridement may be necessary. CRMO, chronic recurrent multifoclal osteomyel. Occurs in children 5-15 yrs. Affects multiple sites for years. Autoimmune, no bacteria, rx NSAIDs.

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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.

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M suffering frm osteomyelitis frm past 5 years in left femur bone n undergone 10 surgeries but still it is not cured. Cn it be cured by homeopathy?

Scientific evidence?: Osteomyelitis is a very difficult problem to have and to treat. The key to success is complete removal of all non-viable tissue. A deep infection should be treated aggressively (as if it were cancer), leaving no suspicious tissue behind. If that somehow cannot be done where you are, seek higher level of care at a university medical center. This is not the time to go with unproven treatment.

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What is the mechanism by which drug users get osteomyelitis?

Bloodborne: Usually, blood born infection, from use of non sterile needles, is the cause of bone infection in drug users.

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Why is there an increased risk of developing osteomyelitis in sickle cell anaemia patients having salmonella infection only? (pathogenesis)

Why is there an increased risk of developing osteomyelitis in sickle cell anaemia patients having salmonella infection only? (pathogenesis)

Sickle cell disease: Although salmonella frequently cause osteomyelitis in sickle cell dz patients, it isn't the most common cause - the most common cause remains staphylococcus. Sickle cell dz predisposes to infections including osteomyelitis due to: hyposplenism & infarcted bone (due to microvascular occlusion). Salmonella is thought to spread from intestine secondary to microinfarction of bowel caused by sickling.

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What is osteomyelitis?

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

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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.

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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

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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.

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How fast will osteomyelitis spread?

How fast will osteomyelitis spread?

Varies: It varies for each individual, based on other medical conditions the patient may or may not have.

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Dr. Payam Rafat
236 Doctors shared insights

Osteomyelitis (Bone Infection) (Definition)

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