Orthopedics Book

http://www.fpnotebook.com/

Acute Osteomyelitis

Aka: Acute Osteomyelitis, Osteomyelitis in Children, Pediatric Osteomyelitis
  1. See Also
    1. Osteomyelitis
    2. Chronic Osteomyelitis
    3. Pediatric Limp
  2. Epidemiology
    1. More common in boys
  3. Pathophysiology
    1. Inflammatory bone changes associated with pathogenic Bacteria
      1. Staphylococcus aureus is most common cause in Pediatric Osteomyelitis
    2. Typically acute hematogenous spread to Traumatized bone
      1. Most common in children under age 5 (50% of cases)
      2. Most commonly affects the highly vascular metaphyses of long bone
  4. Symptoms
    1. Presentation within two weeks of symptom onset
    2. Fever
    3. Irritability or lethargy
  5. Signs
    1. Systemic signs of infection
    2. Pediatric Limp
    3. Femur, tibia and fibula account for 50% of Osteomyelitis cases in children
    4. Local signs of infection
      1. Tenderness on palpation over involved bone
      2. Localized inflammation with erythema and swelling
      3. Decreased range of motion of adjacent joints
  6. Labs
    1. See Osteomyelitis
    2. ESR and CRP may be early indicators of Osteomyelitis (albeit non-specific)
  7. Imaging
    1. See Osteomyelitis
    2. XRays are often normal for first 2-3 weeks
  8. Diagnosis
    1. See Osteomyelitis
  9. Management
    1. See Osteomyelitis Management
  10. References
    1. Jhun and Raam in Herbert (2016) EM:Rap 16(2):15-6
    2. Hatzenbuehler (2011) Am Fam Physician 84(9): 1027-33 [PubMed]
    3. Boutin (1998) Orthop Clin North Am 29:41-66 [PubMed]
    4. Carek (2001) Am Fam Physician 63(12):2413-20 [PubMed]
    5. Dirschl (1993) Drugs 45:29-43 [PubMed]
    6. Eckman (1995) JAMA 273:712-20 [PubMed]
    7. Haas (1996) Am J Med 101:550-61 [PubMed]
    8. Lew (1997) N Engl J Med 336:999-1007 [PubMed]
    9. Lipsky (1997) Clin Infect Dis 25:1318-26 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree