Patient Encounter Part 2

The medical resident suspected osteomyelitis and ordered plain film radiographs. He also swabbed the open wound and sent the swab to the microbiology laboratory for culture and sensitivity. The following result was reported:

Radiograph: Lytic changes consistent with bone destruction

How would you classify the infection in this patient?

How should the results of the wound swab culture be utilized to target the patient's antimicrobial therapy?

• Bone biopsy can provide definitive diagnosis: Samples should be submitted for culture and histology (rarely performed due to invasive nature)

• Blood cultures may be positive in patients with hematogenous osteomyelitis

• Superficial swabs should have a limited role in directing therapy as they may represent colonization rather than infecting organism(s)

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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