Osteomyelitis Treatment And Management
Describe Etiology, pathology, clinical features, and treatment of acute osteomyelitis. What is the sequel of poorly treated osteomyelitis?
Answer. Acute osteomyelitis is a rapidly destructive, pus-producing infection that is capable of destructing the bone.
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Osteomyelitis Management
Acute Osteomyelitis Clinical Features
- There is presence of deep intense pain.
- The patient complains of intermittent fever.
- Signs of acute infection are present, i.e. bodyache, malaise,leucocytosis, raised ESR, etc.
- Presence of paresthesia or anesthesia oflower lip as inferior alveolar nerve is involved.
- Acute infection is present in the tooth and pus discharge is seen from gingival crevice.
- Presence of mobility of involved teeth.
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Chronic Osteomyelitis Treatment
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Sequel of Poorly treated osteomyelitis
Osteomyelitis Treatment
- If the infection is left untreated, an abscess may develop in the bone and surrounding tissue.
In time, this may burst on to the skin and leave a tract i.e. sinus between the infected bone and surface of the skin.
- Blood infection, i.e. septicemia, develops, which causes serious illness.
- If the infection follows a fracture, then there is a chance that the fracture will not heal, i.e. there is non-union of fracture.
Surgical Treatment For Osteomyelitis
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- Compression of other structures occurs next to the infection.
- Some bone infections are caused by methicillin-resistant S. aureus (MRSA), which is difficult to clear with antibiotics.
- Persistent infection of the bone, i.e,. Chronic osteomyelitis sometimes develops and can be difficult to clear.
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