Johns Hopkins Diabetes Guide

Osteomyelitis

DEFINITION

  • Osteomyelitis (OM): infection of the bone.
  • Acute OM: first presentation of osteomyelitis, < 2 weeks duration, no bony necrosis/sequestrum, usually hematogenously acquired.
  • Chronic OM: not clearly defined but may include failure of prior OM treatment, symptoms >3 weeks, presence of necrotic bone/sinus tract or discharge.
  • No widely agreed upon definitions or guidelines for treatment of OM in setting of diabetic foot infection (DFI).
  • Two general categories of OM: 1) occuring within context of DFI (most common by far); or 2) other sites.

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