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Osteomyelitis is a topic covered in the Johns Hopkins Diabetes Guide.

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DEFINITION

  • Osteomyelitis (OM): infection of the bone.
    • Acute OM: first presentation of osteomyelitis, < 2 weeks duration, no bony necrosis/sequestrum, usually hematogenously acquired and more commonly seen in children.
    • Chronic OM: not clearly defined but may include failure of prior OM treatment, symptoms >3 weeks, presence of necrotic bone/sinus tract or discharge.
      • Diagnosis often difficult, especially with pressured decision-making in hospital settings, or outpatient evaluations without easy access to willing sub-specialists/diabetic foot infection (DFI)-comprehensive management teams.
  • No robust evidence to back definitions or guidelines for treatment of OM in the setting of DFI.
  • Two general categories of OM:
    • Occurring within the context of DFI (most common by far)
    • Other sites, e.g., vertebral.

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Last updated: June 4, 2019

Citation

Auwaerter, Paul. "Osteomyelitis." Johns Hopkins Diabetes Guide, 2019. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/7/Osteomyelitis.
Auwaerter P. Osteomyelitis. Johns Hopkins Diabetes Guide. 2019. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/7/Osteomyelitis. Accessed July 17, 2019.
Auwaerter, P. (2019). Osteomyelitis. In Johns Hopkins Diabetes Guide. Available from https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/7/Osteomyelitis
Auwaerter P. Osteomyelitis [Internet]. In: Johns Hopkins Diabetes Guide. ; 2019. [cited 2019 July 17]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/7/Osteomyelitis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Osteomyelitis ID - 547108 A1 - Auwaerter,Paul,M.D. Y1 - 2019/06/04/ BT - Johns Hopkins Diabetes Guide UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/7/Osteomyelitis DB - Johns Hopkins Guide DP - Unbound Medicine ER -