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- $Unique_ID{BRK02046}
- $Pretitle{}
- $Title{What to Expect from Osteomyelitis}
- $Subject{osteomyelitis bone marrow infection bones infection blood bacteria
- fungi fungus femur tibia humerus diabetics diabetes sinus infections dental
- infection staphylococcus streptococci hemophilus influenzae penicillin
- antibiotic antibiotics sequestra}
- $Volume{}
- $Log{}
-
- Copyright (c) 1993 Tribune Media Services, Inc.
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-
- What to Expect from Osteomyelitis
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- QUESTION: Recently I was diagnosed as having osteomyelitis. Research in
- local libraries hasn't yielded much information. I would appreciate knowing
- what to expect as time goes on. I am currently taking penicillin 4 times a
- day. Thank you for any help you can provide.
-
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-
- ANSWER: If we analyze the meaning of the word "osteomyelitis", by looking at
- the Greek words from which it was formed, we can obtain a pretty accurate
- definition of this condition. "Osteo" means "bone", "myelos" indicates
- "marrow", and "itis" indicates infection. Thus this is a condition where the
- marrow of the bone is infected, usually by a bacteria, sometimes by fungi. It
- can be difficult to establish the exact cause of the disease, and is often
- difficult to treat. It usually develops in the long bones of the body, the
- femur and the tibia in the legs and the humerus in the arms, and is more
- common in children than adults. It is almost always located in bones that
- have a good blood supply and a rich marrow. It can be caused by a local
- infection of soft tissue that spreads to the bone, enter the bone directly
- from open fractures due to accidents, or spread to the bone through the blood
- stream from an infection in some distant site of the body. Osteomyelitis in
- the legs in diabetics frequently comes from foot ulcers, and when
- osteomyelitis appears in the skull, it is often starts as a sinus or dental
- infection.
- To properly treat the infection, it is important to identify the exact
- bacteria or fungus that is the cause. In many cases it is but a single
- organism, usually a staphylococcus, but streptococci and hemophilus influenzae
- can also be found. In more complicated cases, there are several organisms
- present at the same time, making the choice of a proper antibiotic quite
- difficult. Penicillin in one of its forms is often the antibiotic of choice.
- Treatment with antibiotics may continue for as long as four to six weeks, and
- often the kind of antibiotic will be changed as the treatment progresses. The
- development of new and very affective antibiotics have greatly improved the
- prognosis of this infectious disease, with complete cures a general rule.
- However, when it becomes a chronic condition, and succeeds in killing
- fragments of bone tissue (called sequestra), surgery is needed to remove the
- dead tissue and help in advancing the treatment.
-
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-