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Osteomyelitis Masquerading as Cellulitis: A Case Report.

Sanjiya Arora1, Vikramaditya Rai2, Devendra Tripathi3

  • 1Internal Medicine, Sub-Divisional Hospital (SDH) cum Civil Hospital, Fatehabad, IND.

Cureus
|March 1, 2024
PubMed
Summary
This summary is machine-generated.

Timely diagnosis of osteomyelitis is crucial for better outcomes. This case highlights the importance of a multidisciplinary approach for treating bone infections effectively.

Keywords:
antimicrobial therapycellulitisdebridementosteomyelitisosteopenia

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Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Radiology

Background:

  • Osteomyelitis is a serious global health concern, frequently stemming from trauma, surgery, or diabetic foot complications.
  • Early recognition and intervention are key to managing this challenging bone infection.

Observation:

  • A 62-year-old female presented with right lower extremity swelling, pain, and mobility issues, initially misdiagnosed as cellulitis.
  • A CT scan revealed a pretibial abscess and confirmed osteomyelitis caused by pan-sensitive Escherichia coli.

Findings:

  • The patient underwent surgical debridement and received six weeks of intravenous antibiotics.
  • Prompt diagnosis and treatment are vital for improving patient prognosis.

Implications:

  • This case emphasizes the necessity of a high index of suspicion for osteomyelitis in patients with relevant risk factors.
  • A multidisciplinary strategy involving surgical expertise and individualized antibiotic therapy is critical for successful osteomyelitis management.