Osteomyelitis

Osteomyelitis:

• Osteomyelitis is inflammation or swelling that occurs in the bone.

Clinical Features:

• Drainage (yellow pus).
• Fever.
• Irritability or lethargy.
• Limited, painful movement.
• Loss of appetite.
• Lower back pain.
• Nausea and vomiting.
• Sweating or chills.

Investigation:

• Blood tests: A complete blood count (CBC) checks for signs of inflammation and infection. A blood culture looks for bacteria in your bloodstream.
• maging tests: X-rays, MRIs, CT scans and ultrasounds provide images of your bones, muscles and tissues.
• Bone scan: A bone scan uses a small amount of safe, radioactive material to identify infections or fractures during an imaging scan.
• Biopsy: Your healthcare provider performs a needle biopsy to take samples of fluid, tissue or bone to examine for signs of infection.

Rx:

1.Inj.Phylopen (flucloxacillin)(25mg/kg/dose)

• I/V……..6 hourly …….28 days 

2.Tab.Naprox(naproxen)(500mg)

• 1+0+1……….after meal (if pain)

3.Cap.sergel (esomeprazole)(20mg)

• 1+0+1………….15 days 

Surgery : aspiration may need