Osteomyelitis history and symptoms: Difference between revisions

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===Patient History===
===Patient History===
*Hematogenous Osteomyelitis:
*Hematogenous Osteomyelitis:
:*Intravenous drug use<ref name="LewWaldvogel1997">{{cite journal|last1=Lew|first1=Daniel P.|last2=Waldvogel|first2=Francis A.|title=Osteomyelitis|journal=New England Journal of Medicine|volume=336|issue=14|year=1997|pages=999–1007|issn=0028-4793|doi=10.1056/NEJM199704033361406}}</ref>
:*[[Intravenous drug use]]<ref name="LewWaldvogel1997">{{cite journal|last1=Lew|first1=Daniel P.|last2=Waldvogel|first2=Francis A.|title=Osteomyelitis|journal=New England Journal of Medicine|volume=336|issue=14|year=1997|pages=999–1007|issn=0028-4793|doi=10.1056/NEJM199704033361406}}</ref>
:*Urinary catheter use
:*[[Urinary catheter]] use
:*[[Bacteremia]]
:*[[Bacteremia]]


*Contiguous-focus Osteomyelitis:
*Contiguous-focus Osteomyelitis:
:*Recent open fracture
:*Recent open [[fracture]]
:*Recent surgery, especially orthopedic surgery
:*Recent [[surgery]], especially [[orthopedic surgery]]
:*Prosthesis
:*[[Prosthesis]]


*Osteomyelitis Secondary to Vascular Insufficiency:
*Osteomyelitis Secondary to Vascular Insufficiency:
:*[[Diabetes]]<ref name="CaputoCavanagh1994">{{cite journal|last1=Caputo|first1=Gregory M.|last2=Cavanagh|first2=Peter R.|last3=Ulbrecht|first3=Jan S.|last4=Gibbons|first4=Gary W.|last5=Karchmer|first5=Adolf W.|title=Assessment and Management of Foot Disease in Patients with Diabetes|journal=New England Journal of Medicine|volume=331|issue=13|year=1994|pages=854–860|issn=0028-4793|doi=10.1056/NEJM199409293311307}}</ref>
:*[[Diabetes]]<ref name="CaputoCavanagh1994">{{cite journal|last1=Caputo|first1=Gregory M.|last2=Cavanagh|first2=Peter R.|last3=Ulbrecht|first3=Jan S.|last4=Gibbons|first4=Gary W.|last5=Karchmer|first5=Adolf W.|title=Assessment and Management of Foot Disease in Patients with Diabetes|journal=New England Journal of Medicine|volume=331|issue=13|year=1994|pages=854–860|issn=0028-4793|doi=10.1056/NEJM199409293311307}}</ref>
:*Diabetic patients with soft-tissue inflammation or skin ulcers in the feet
:*Diabetic patients with soft-tissue inflammation or skin [[ulcers]] in the feet


===Common symptoms===
===Common symptoms===

Revision as of 15:44, 18 April 2016

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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:
  • Contiguous-focus Osteomyelitis:
  • Osteomyelitis Secondary to Vascular Insufficiency:
  • Diabetes[2]
  • Diabetic patients with soft-tissue inflammation or skin ulcers in the feet

Common symptoms

  • 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

  1. Lew, Daniel P.; Waldvogel, Francis A. (1997). "Osteomyelitis". New England Journal of Medicine. 336 (14): 999–1007. doi:10.1056/NEJM199704033361406. ISSN 0028-4793.
  2. 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.
  3. 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.

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