Osteomyelitis

Background

• usu hematogenous spread starting @ metaphysis b/c wbc cannot exit there, minor trauma= osteo in rabbits post staph inj(x).

• age >2, immunecompetent Rx for staph strep, only need bone if <2 b/c other causes ie e. coli

Diagnosis

• usu rubor, dolor etc at about 3-5 days, no xr changes until 10 days

• Bcx alone= org 50% of time, w/ bone & bcx get 70% of org!

• Order xr, cbc, crp, bcx,

Treatment

Rx= ancef or ox