Osteomyelitis Symptoms, Diagnosis, and Treatment

What Is Osteomyelitis?

Osteomyelitis is a painful bone infection. The National Organization for Rare Disorders estimates that two to five per 10,000 people in the U.S. get osteomyelitis each year.

Osteomyelitis affects men and women equally and can occur at any age, but often happens in:

• Preschool-age children.
• The elderly.
• People with diabetes.

Osteomyelitis can be acute (comes on quickly) or chronic (long-term).

In kids, it's mostly acute. In adults, it can be acute or chronic.

People with diabetes, chronic vascular disease, or a weakened immune system are more likely to have chronic osteomyelitis.

In children, osteomyelitis usually occurs in the long bones of the arms or legs. In adults, it's most often in the spine, feet, or hips.

Osteomyelitis causes

Osteomyelitis forms when an infection from bacteria or fungi spreads to the bone. Most often, the cause is a staph infection. These germs live on the skin of even healthy people.

Bacteria can enter the bone through:

• Injuries. A traumatic injury (such as a puncture wound) may let germs travel deep into the body.
• IV lines or catheters. Medical tubing can be a pathway for germs to enter your body through the blood and, in time, cause a bone infection.
• Surgery. There's a chance of infection with joint replacement surgery or any other surgery that involves bones or joints.
• The bloodstream. Germs can sometimes travel through the blood from a place of infection to a weak or compromised part of the bone.

Osteomyelitis risk factors and complications

You're at greater risk for osteomyelitis if you:

• Have diabetes, especially if it causes foot ulcers.
• Inject illicit drugs.
• Are having dialysis for chronic kidney failure.
• Have had a recent traumatic bone or joint injury.
• Have had bone or joint surgery (such as a hip replacement).
• Have a weakened immune system.
• Have pressure injuries (bedsores).

If left untreated, complications from osteomyelitis include:

• Bone fractures. The infection weakens the bone, making it more prone to fractures.
• Bone death. If the infection stops blood flow in the bone, the bone will wear down and finally collapse. You'll then need surgery to remove those parts of the bone.
• Septic arthritis. The infection can spread from the bone into an adjacent joint. This causes an infected joint that's painful, swollen, and warm to the touch.
• Skin cancer. Untreated osteomyelitis can, in rare cases, lead to squamous cell carcinoma, a type of skin cancer.

How to prevent osteomyelitis

While you can't always prevent this bone infection, you can take steps to lower your risk.

• Clean any wound thoroughly. Bacteria enter the body through open wounds. Flush any open wound with water for five minutes before bandaging and see a doctor for severe wounds.
• If you have diabetes, work to keep it under control. Pay careful attention to your feet and call your doctor at the first sign of infection.