Pose a great challenge to treating orthopedic surgeon…

Only antibiotic therapy as in other infections elsewhere in the body is not so successful in Bone and joint infection.

Causative factors are many Viz: Bacteremia due to hematogenous spread of bacteria from some other infective foci (like Pharynx/nose/lungs), Malnutrition, medical comorbidities, and Immunosupression are the various common factors predisposing to Bone and Joint infection.

Presentation of a child with bones and joint infection may vary from signs and symptoms of acute infection (high-grade continuous fever and bone or Joint pain) and inability to move affected lower limb inability to put weight on affected lower limb and in chronic long-standing infection presenting with sequelae ( Discharging sinus, pathological fracture, post septic sequelae in joints like joint destruction, joint dislocation).

Diagnosis of Bone and joint infection is mostly clinical. Investigations add to the diagnosis.

Blood parameters (CBC, ESR, and CRP) and radiological investigations are diagnostic.

MRI should be ordered in all the cases to know the exact extent of infection and to plan the treatment.

Majority of children with Acute Hematogenous Osteomyelitis could be cured with a single course of antibiotics and immobilization if treatment was initiated within 1 or 2 days of the onset of symptoms.

Delay in presentation shall be treated immediately with puss drainage and bone decompression as soon as possible.

Greater the delay in treatment more will be amount of Damage to the bone.

Risk of turning an acute infection into a chronic also increases.

Delay in treatment of acute osteomyelitis may lead to weak bone and increased risk of pathological fracture

For Optimum Treatment of bone and Joint infections in the pediatric age group connect with us.