Osteomyelitis

• Facts:
  Infection of the bone
• History / PE:
  Fever, chills
  Focal pain
• Diagnosis:
  Grossly elevated ESR
  MRI (gold standard for evaluation)
• Treatment:
  6-8 weeks of antibiotics
  Fluroquinolones (empiric treatment)
  Surgical debridement
• Complications:
  1) Chronic osteomyelitis
  2) Septic arthritis
  3) Systemic sepsis
  4) Draining sinus tract, leading to SCC
• Associated With:
  IV drug abuse
  Sickle cell disease
  Immunosuppression