RT Book, Section
A1 Wells, Robert G.
SR Print(0)
ID 1148953617
T1 Musculoskeletal Infections
T2 Diagnostic Imaging of Infants and Children
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071808392
LK accesspediatrics.mhmedical.com/content.aspx?aid=1148953617
RD 2024/04/19
AB Osteomyelitis  is  an  infection  of  bone.  This  is  a  relatively  common  occurrence  in  the  pediatric  age  group;  the  incidence  of  osteomyelitis  in  the  United  States  is  1  in  5000  children  per  year  and  1  in  1000  neonates  per  year.1  Osteomyelitis  most  often  occurs  due  to  hematogenous  inoculation  of  the  bone  with  bacteria.  Organisms  can  also  be  introduced  via  a  puncture  wound  or  by  way  of  spread  from  an  adjacent  structure  (e.g.,  skin  or  paranasal  sinuses).  Organisms  other  than  bacteria  are  occasionally  involved,  including  viruses,  fungi,  and  spirochetes.  Classification  schemes  for  osteomyelitis  involve  the  nature  of  the  infecting  organism  (e.g.,  pyogenic,  fungal,  tuberculous,  or  viral),  the  mechanism  of  bone  inoculation  (e.g.,  hematogenous  or  direct  implantation),  and  the  chronicity  of  the  infection  (i.e.,  acute,  subacute,  and  chronic  osteomyelitis).2–7