Osteomylitis

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Osteomylitis

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7 Posts

dr.roh
Forum Guru

Topics: 159
Posts: 361

09/15/07 - 08:09 AM

Whats the most common cause...Stap. aureus or Salmonella???

I know salmonella is more commonly seen in sickle cell pt. with osteomylitis....BUT is it the most common cause in sickle cell patient.??

starcraftbw
Forum Senior

Topics: 13
Posts: 166

09/15/07 - 11:21 AM

Staph (even in sickle cell) --> Salmonella is the 2nd most common

dr.roh
Forum Guru

Topics: 159
Posts: 361

09/15/07 - 12:11 PM

Thanx

MAGY17
Forum Elite
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Topics: 30
Posts: 234

10/29/07 - 07:07 PM

for general population...........staphi aureus
foe sickle ceel disease...........salmonella

neuroblastoma
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Topics: 99
Posts: 1,011

10/29/07 - 07:19 PM

starcraftbw wrote:
Staph (even in sickle cell) --> Salmonella is the 2nd most common

i just did ques in UW... they mentioned salmonella osteomyelitis in sickle..

i agreed with this staph osteomyelitis is still the most common.

so, wht would be the next step of management if u suspect osteomyelistis???

antibiotics, bone scan, MRI, ct scan, cultures, ?

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doyoudig
Forum Guru

Topics: 144
Posts: 613

10/30/07 - 11:50 AM

1st Take X Rays and Blood Culutres then give Ab's while awaiting culture results
if X Ray is negative go for Bone Scan (or Mri if Spine or Foot is Involves or their is significant swelling since MRI is the better test for areas with increased Soft Tissue)

doyoudig
Forum Guru

Topics: 144
Posts: 613

10/30/07 - 11:51 AM

if Bone Scan or MRI are also negative -- Bone Biospy n Culture should be next

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