Osteomyelitis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nate Michalak, B.A.
Overview
History and Symptoms
Patient History
- Hematogenous Osteomyelitis:
- Intravenous drug use[1]
- Urinary catheter use
- Bacteremia
- Contiguous-focus Osteomyelitis:
- Recent open fracture
- Recent surgery, especially orthopedic surgery
- Prosthesis
- Osteomyelitis Secondary to Vascular Insufficiency:
Common symptoms
- Systemic:[3]
- Local:
Special Considerations
- Diabetic patients with osteomyelitis secondary to vascular insufficiency typically do not have fever or inflammation.
- Fever is typically absent in patients with infected prosthesis.
- Patients with vertebral osteomyelitis may have generalized neck and back pain.
References
- ↑ Lew, Daniel P.; Waldvogel, Francis A. (1997). "Osteomyelitis". New England Journal of Medicine. 336 (14): 999–1007. doi:10.1056/NEJM199704033361406. ISSN 0028-4793.
- ↑ Caputo, Gregory M.; Cavanagh, Peter R.; Ulbrecht, Jan S.; Gibbons, Gary W.; Karchmer, Adolf W. (1994). "Assessment and Management of Foot Disease in Patients with Diabetes". New England Journal of Medicine. 331 (13): 854–860. doi:10.1056/NEJM199409293311307. ISSN 0028-4793.
- ↑ Lew, Daniel P; Waldvogel, Francis A (2004). "Osteomyelitis". The Lancet. 364 (9431): 369–379. doi:10.1016/S0140-6736(04)16727-5. ISSN 0140-6736.