Osteomyelitis is a bone infection usually caused by bacteria, mycobacteria, or fungi. Bacteria, mycobacteria, or fungi can infect bones by spreading through the bloodstream or, more often, by spreading from nearby infected tissue or a contaminated open wound.
Can you spread osteomyelitis?
Is Osteomyelitis Contagious? No, bones infections aren’t contagious. But the germs that cause osteomyelitis can sometimes pass from one person to another.
Can osteomyelitis spread from bone to bone?
Bone infection is most often caused by bacteria. But it can also be caused by fungi or other germs. When a person has osteomyelitis: Bacteria or other germs may spread to a bone from infected skin, muscles, or tendons next to the bone.
Can you have osteomyelitis 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.
What is the prognosis for osteomyelitis?
Outlook / Prognosis
With proper treatment, the outcome is usually good for osteomyelitis, although results tend to be worse for chronic osteomyelitis, even with surgery. Some cases of chronic osteomyelitis can be so resistant to treatment that amputation may be required; however, this is rare.
How fast does osteomyelitis spread?
Symptoms of Osteomyelitis
Acute osteomyelitis develops rapidly over a period of seven to 10 days.
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).
Is osteomyelitis an emergency?
Osteomyelitis can present to the emergency department as an acute, subacute, or chronic orthopedic concern.
Is osteomyelitis very painful?
Osteomyelitis is a painful bone infection. It usually goes away if treated early with antibiotics. If not, it can cause permanent damage.
What are the complications of osteomyelitis?
Some of the complications of osteomyelitis include:
- Bone abscess (pocket of pus)
- Bone necrosis (bone death)
- Spread of infection.
- Inflammation of soft tissue (cellulitis)
- Blood poisoning (septicaemia)
- Chronic infection that doesn’t respond well to treatment.
What does osteomyelitis do to the bone?
Osteomyelitis complications may include: Bone death (osteonecrosis). An infection in your bone can impede blood circulation within the bone, leading to bone death. Areas where bone has died need to be surgically removed for antibiotics to be effective.
What does osteomyelitis pain feel like?
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. The pain may come and go and may be worse or better at night.
What should you do if osteomyelitis is suspected?
The most common treatments for osteomyelitis are surgery to remove portions of bone that are infected or dead, followed by intravenous antibiotics given in the hospital.
- Drain the infected area. …
- Remove diseased bone and tissue. …
- Restore blood flow to the bone. …
- Remove any foreign objects. …
- Amputate the limb.
What are the long term effects of osteomyelitis?
Osteomyelitis needs long-term care to prevent complications, such as: Fractures of the affected bone. Stunted growth in children, if the infection has involved the growth plate. Tissue death (gangrene) in the affected area.
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.