- 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
Auwaerter, Paul. "Osteomyelitis." Johns Hopkins Diabetes Guide, 2019. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/all/Osteomyelitis.
Auwaerter P. Osteomyelitis. Johns Hopkins Diabetes Guide. 2019. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/all/Osteomyelitis. Accessed June 7, 2023.
Auwaerter, P. (2019). Osteomyelitis. In Johns Hopkins Diabetes Guide https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/all/Osteomyelitis
Auwaerter P. Osteomyelitis [Internet]. In: Johns Hopkins Diabetes Guide. ; 2019. [cited 2023 June 07]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547108/all/Osteomyelitis.
* Article titles in AMA citation format should be in sentence-case
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