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Doctor insights on: Treatment Osteomyelitis Patient Disease Caused Salmonella

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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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Dr. Peter Ihle
262 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 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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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. ...Read more

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What is the treatment for salmonella and what is it caused by?

What is the treatment for salmonella and what is it caused by?

Depends: It is always caused by a bacteria called salmonella . We only treat it if absolutely necessary as there is a greater incidence of a severe complication called hemolytic uremic syndrome when antibiotics are used. ...Read more

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4yr w/ staph/salmonella osteomylitis tx: 2wk IV ab & 4wk oral amox- postlab work- mpv 8.1, eoso .43 2mth p pinprick petechiae on hands ++uri's- worry?

4yr w/ staph/salmonella osteomylitis tx: 2wk IV ab & 4wk oral amox- postlab work- mpv 8.1, eoso .43 2mth p pinprick petechiae on hands ++uri's- worry?

Question unclear: If you have a 4 year old with these conditions you should have them seen by a pediatric infectious diseases expert. If this is in an adult it is very unusual to see both staph and salmonella producing osteomyelitis in the same patient. If you are being treated and are having petechiae you need to see a doctor immediately and consider having an echocardiogram and ruling out allergy. ...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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1/2 month old with salmonella. What is the proper treatment?

1/2 month old with salmonella. What is the proper treatment?

Can be serious: Salmonella infection in newborn infant should be taken seriously because of complications, e.g., bacteremia or meningitis. Systemic antibiotics treatment is generally rendered. ...Read more

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What's the best treatment to get rid of salmonella infection?

Supportive care: Gastroenteritis, the most common manifestation of salmonella infection in us, generally requires a supportive care, i.e., maintaining good fluid balance. Exceptions include young infants and individuals with sickle cell disease who may require antibiotics treatment. ...Read more

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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

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Got salmonella typhi while travelin. no more symptoms but + stool after treatment. will seek treatment again. need to report to public health dept?

The physician or: Health Care Professional who treats you should report it to appropriate State Agency since this is an organism which can produce OUTBREAKS involving many people (eg Tainted food) Hope this is helpful Dr Z BTW you must obtain THREE (3) negative stools to be sure you are not an asymptomatic "carrier".. ...Read more

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What drugs are effective for salmonella treatment?

What drugs are effective for salmonella treatment?

Many cases of: Salmonellosis are gone before the diagnosis is made but ciprofloxacin, trimethoprim/sulfamethoxazole and even Ampicillin could be used. ...Read more

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What is the treatment for salmonella poisoning?

Oral hydration: Salmonella typhi (typhoid fever) is transmitted by drinking or eating contaminated water or food. High fever, headache, abdominal pain and rash are possible symptoms. Oral hydration is the mainstay of treatment, although IV hydration may be needed in serious cases; oral antibiotics may also be recommended. Anti-diarrheal meds are usually not recommended. ...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.

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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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

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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

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Can a septic shock patient develop osteomyelitis?

Can a septic shock patient develop osteomyelitis?

Yes: But it can go both ways, bacteremia can seed the bone or acute osteomyelitis can cause bacteremia. ...Read more

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In cancer patients can paralysis from osteomyelitis properly treated reverse?

In cancer patients can paralysis from osteomyelitis properly treated reverse?

It depend: The reversal of the paralysis not always possible because this problem take time to developed and make permanent change in the spinal cord. If the changes are recent that is possible. ...Read more

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Dr. Heidi Fowler
181 doctors shared insights

Salmonella (Definition)

Is a bacterium which is a cause of gastrointestinal infection presenting with fever and diarrhea for 4-7 days and is transmitted as a zoonosis, that is, directly or indirectly from an animal host such as chickens or their eggs. Only salmonella typhi is ...Read more


Dr. Payam Rafat
234 doctors shared insights

Osteomyelitis (Bone Infection) (Definition)

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