Sometimes, chronic osteomyelitis is undetectable for a long time, causing no symptoms for months or years. More commonly, chronic osteomyelitis causes bone pain, recurring infections in the soft tissue over the bone, and constant or intermittent drainage of pus through the skin.
Can you have osteomyelitis and not know?
Sometimes osteomyelitis causes no signs and symptoms or the signs and symptoms are hard to distinguish from other problems. This may be especially true for infants, older adults and people whose immune systems are compromised.
Can you have osteomyelitis for years and not know it?
Osteomyelitis could present as a silent chronic form persisting for many years without clinical symptoms. Diagnosis could be difficult; biopsies are necessary; negative growth of micro-organisms in culture does not exclude osteomyelitis as a diagnosis.
Can osteomyelitis lay dormant?
However, for some people, osteomyelitis or septic arthritis may never completely go away. The bacteria can lie dormant in the body and return, even after treatment.
How long does osteomyelitis take to develop?
Acute osteomyelitis develops rapidly over a period of seven to 10 days. The symptoms for acute and chronic osteomyelitis are very similar and include: Fever, irritability, fatigue. Nausea.
What is the most common bone site of osteomyelitis?
Osteomyelitis can be the result of a spreading infection in the blood (hematogenous) and occurs more often in children than adults. In prepubescent children, it usually affects the long bones: the tibia and the femur. The most common site of infection is the metaphysis, which is the narrow portion of the long bone).
What are common local signs of osteomyelitis?
The symptoms of osteomyelitis can include:
- Pain and/or tenderness in the infected area.
- Swelling, redness and warmth in the infected area.
- Nausea, secondarily from being ill with infection.
- General discomfort, uneasiness, or ill feeling.
- Drainage of pus (thick yellow fluid) through the skin.
What is the best antibiotic for osteomyelitis?
Oral antibiotics that have been proved to be effective include clindamycin, rifampin, trimethoprim-sulfamethoxazole, and fluoroquinolones. Clindamycin is given orally after initial intravenous (IV) treatment for 1-2 weeks and has excellent bioavailability.
Can you have a bone infection without fever?
People often do not have fever, which is usually the most obvious sign of an infection. Chronic osteomyelitis may develop if osteomyelitis is not treated successfully. It is a persistent infection that is very difficult to get rid of.
How do you know if you have a bone infection in your toe?
General discomfort, uneasiness, or ill feeling (malaise) Local swelling, redness, and warmth. Open wound that may show pus. Pain at the site of infection.
How do you rule out osteomyelitis?
How is osteomyelitis diagnosed?
- Blood tests, such as: Complete blood count (CBC). …
- Needle aspiration or bone biopsy. A small needle is inserted into the affected area to take a tissue biopsy.
- X-ray. …
- Radionuclide bone scans. …
- CT scan. …
- MRI. …
Can an xray show osteomyelitis?
X-rays can reveal damage to your bone. However, damage may not be visible until osteomyelitis has been present for several weeks. More-detailed imaging tests may be necessary if your osteomyelitis has developed more recently.
Can you fully recover from osteomyelitis?
Most cases of osteomyelitis are treatable. Chronic infections of the bone, however, may take longer to treat and heal, especially if they require surgery. Treatment should be aggressive because an amputation can become necessary sometimes. The outlook for this condition is good if the infection is treated early.
What does osteomyelitis pain feel like?
Sometimes, bone lesions can cause pain in the affected area. This pain is usually described as dull or aching and may worsen during activity. The person may also experience fever and night sweats. In addition to pain, some cancerous bone lesions can cause stiffness, swelling, or tenderness in the affected area.
Is osteomyelitis an emergency?
Osteomyelitis can present to the emergency department as an acute, subacute, or chronic orthopedic concern.
Which factors would predispose a person to develop osteomyelitis?
Other factors include diabetes, peripheral vascular disease, malnutrition, hypotension, chronic steroid use, malignancy, alcoholism, smoking, systemic or local immunocompromise, intravenous drug use and development of decubitus ulcers.