osteomyelitis

Question 1

what is it?

Answer 1

infection to the bone

Question 2

classification

Answer 2

1. haematogenous
2. non-haemotogenous

Question 3

cause of haematogenous osteomyelitis

Answer 3

results from bacteraemia

is usually monomicrobial

Question 4

age of haematogenous osteomyelitis

Answer 4

children

Question 5

most common form haematogenous osteomyelitis in adults

Answer 5

vertebral

Question 6

cause of non-haematogenous osteomyelitis

Answer 6

contiguous spread of infection from adjacent soft tissues to the bone or from direct injury/trauma to bone

polymicrobial

Question 7

age of non-haematogenous osteomyelitis

Answer 7

adults

Question 8

risk factors of non-haematogenous osteomyelitis?

Answer 8

diabetic foot ulcers/pressure sores, diabetes mellitus, peripheral arterial disease

Question 9

common micro-organism

Answer 9

Staph. aureus is the most common cause except in patients with sickle-cell anaemia where Salmonella species predominate

Question 10

Ix

Answer 10

MRI

Question 11

Mx

Answer 11

flucloxacillin for 6 weeks

clindamycin if penicillin-allergic