Acute osteomyelitis in children is primarily Ra
clinical diagnosis based on the rapid onset Ra
nd localization of symptoms. Systemic Rs
ymptoms such as fever, lethargy, and irri-Rt
ability may be present. The physical exami-Rn
ation should focus on identifying common Rfi
ndings, such as erythema, soft tissue swell-Ri
ng or joint effusion, decreased joint range Ro
f motion, and bony tenderness. The iden-Rt
ification of a bacterial infection may be dif-Rfi
cult because blood cultures are positive in Ro
nly about one-half of cases.R1
5R
Because of the Rd
ifficulty of diagnosis, the potential sever-Ri
ty of infection in children, the high disease Rr
ecurrence rate in adults, and the possible Rn
eed for surgical intervention, consultation Rw
ith an infectious disease subspecialist and Ra
n orthopedic subspecialist or plastic sur-Rg
eon is advised.
Acute osteomyelitis in children is primarily Ra clinical diagnosis based on the rapid onset Rand localization of symptoms. Systemic Rsymptoms such as fever, lethargy, and irri-Rtability may be present. The physical exami-Rnation should focus on identifying common Rfindings, such as erythema, soft tissue swell-Ring or joint effusion, decreased joint range Rof motion, and bony tenderness. The iden-Rtification of a bacterial infection may be dif-Rficult because blood cultures are positive in Ronly about one-half of cases.R15R Because of the Rdifficulty of diagnosis, the potential sever-Rity of infection in children, the high disease Rrecurrence rate in adults, and the possible Rneed for surgical intervention, consultation Rwith an infectious disease subspecialist and Ran orthopedic subspecialist or plastic sur-Rgeon is advised.
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