Chronic osteomyelitis

Case contributed by Bassem Marghany , 14 Apr 2019
Diagnosis certain
Changed by Henry Knipe, 17 Apr 2019

Updates to Case Attributes

Title was changed:
Chronic Osteomyelitisosteomyelitis
Age changed from 34 to 35 years.
Presentation was changed:
Chronic left arm pain; H/O. History of surgery 1 month back for debridement of chronic osteomyelitis.
Body was changed:
  • The patient presented for follow up-up after surgical debridement 1 month back for chronic osteomyelitis.

  • He had presented 3 months earlier at another hospital with chronic pain atof the left arm for 2 months, not responding to analgesics; No history of trauma, significant medical illness or comorbidities.
  • X-ray and CT (old studies in this case), Lab and lab tests were done.
  • The patient received IV antibiotics and was submitted for surgical debridement where histopathological verification of osteomyelitis was achieved.
  • The newly developed bony sequestrum may act as a nidus for infection and hence usually requires excision if a cure is to be achieved.
  • -<ul>
  • -<li>The patient presented for follow up after surgical debridement 1 month back for chronic osteomyelitis.</li>
  • -<li>He had presented 3 months earlier at another hospital with chronic pain at left arm for 2 months, not responding to analgesics; No history of trauma, significant medical illness or comorbidities.</li>
  • -<li>X-ray and CT (old studies in this case), Lab tests were done.</li>
  • -<li>The patient received IV antibiotics and was submitted for surgical debridement where histopathological verification of osteomyelitis was achieved.</li>
  • -<li>The newly developed bony sequestrum may act as a nidus for infection and hence usually requires excision if cure is to be achieved.</li>
  • -</ul>
  • +<p>The patient presented for follow-up after surgical debridement 1 month back for chronic osteomyelitis.</p><p>He had presented 3 months earlier at another hospital with chronic pain of the left arm for 2 months, not responding to analgesics; No history of trauma, significant medical illness or comorbidities.</p><p>X-ray and CT (old studies in this case) and lab tests were done. The patient received IV antibiotics and was submitted for surgical debridement where histopathological verification of osteomyelitis was achieved.</p><p>The newly developed bony sequestrum may act as a nidus for infection and hence usually requires excision if a cure is to be achieved.</p>

Systems changed:

Updates to Link Attributes

Title was removed:
Chronic Osteomyelitis
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

Updates to Study Attributes

Findings was changed:
  • Diffuse thickening and remodelingremodelling of the humeral shaft.

  • Small healing cloaca at the distal humeral shaft.
  • Another larger more distal surgical track, with a sclerotic bone fragment seen within (bony sequestrum).

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