Osteomyelitis in Emergency Medicine Follow-up

Updated: Jun 15, 2016
  • Author: Randall W King, MD, FACEP; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Follow-up

Deterrence/Prevention

Acute hematogenous osteomyelitis can potentially be avoided by preventing bacterial seeding of bone from a remote site. This involves the appropriate diagnosis and treatment of primary bacterial infections.

Direct inoculation osteomyelitis can best be prevented with appropriate wound management and consideration of prophylactic antibiotic use at the time of injury.

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Complications

Complications of osteomyelitis may include the following:

  • Bone abscess
  • Paravertebral/epidural abscess
  • Bacteremia
  • Fracture
  • Loosening of the prosthetic implant
  • Overlying soft-tissue cellulitis
  • Draining soft-tissue sinus tracts
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Prognosis

The prognosis for osteomyelitis varies but is markedly improved with timely diagnosis and aggressive therapeutic intervention.

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