Microbiology Flashcards
define osteomyelitis
inflammation of bone and medullary cavity
what is a sequestrum?
dead fragment of bone can break off and new bone can form around the area of necrosis (involucrum)
what can children develop in terms of osteomyelitis?
Brodie’s abscess
diagnosis of osteomyelitis
bone biopsy
management of osteomyelitis
await lab results, do not treat empirically unless sepsis
surgery to remove tissue
causes of osteomyelitis
open fractures diabetes/vascular insufficiency haematogenous (PWID and dialysis) vertebral abscess prosthetic joint
unusual patient groups in osteomyelitis
- sickle cell osteomyelitis
- Gaucher’s disease
- SAPHO and CRMO
causes of sickle cell osteomyelitis
staph aureus
salmonella
cause of Gauchers disease?
staph aureus
define septic arthritis
inflammation of joint space caused by infection
bacterial causes of septic arthritis
staph aureus
strep
coagulase negative staph (prosthetic joint)
neisseria gonorrhoea (sexually active)
E. coli (elderly, PWIDs, immunocompromised)
H. influenza (pre-school)
viral arthritis causes
alphavirus
hep B
parvovirus B19
rubella
define pyomyositis
bacterial infection of skeletal muscle
define myositis
viral infection of skeletal muscle
what causes tetanus?
toxin produced by clostridium tetani