Osteomyelitis Puns

Hi Does anyone have experience with osteomyelitis? I have osteomyelitis located on my collarbone and it s been pain in the ass for the past 3 or 4 years. When it flares it hurts like nothing else for about a month.. Does anyone have experience with this disease?

My 1 year old blue heeler bit me exactly 5 weeks ago today at the vet. Two small puncture wounds on the backside of my hand a little above my wrist. My hand initially swelled up when I went to the doctor to a huge size. They gave me a tetanus shot, some antibiotics and ibuprofen, then the swelling went down after a few days. But a few days later it swole back up to maybe half the size. I went to the doctor they put me on IV antibiotics for an hour, in addition to the antibiotics they already gave. Following this the swelling is still there. I’ve been to the doctor 3 times since and they keep telling me to just wait it out to see if it gets worse while shoving antibiotics at me. I’ve been taking amoxicillin for 5 weeks on and off.

The swelling changes depending on activity. It hurts the most when I wake up and when I bend my fingers in a certain position, it’s a really harsh soreness. The lump on the back of my hand isn’t that big or noticeable. But it is there because I can’t see my veins or any of my bones like I can in my other hand, it just looks kinda fat.

Did my own research and I’m curious could it be osteomyelitis? They only took an X-ray on the day it happened at urgent care and haven’t done any since. Do you think this is a possibility? Just kinda concerned because my body usually heals from everything pretty fast and I’ve had injuries worse than this and have never had swelling like this and for so long. It’s also weird when I put an ace band around it for a few hours the swelling will compress a little and it looks kinda normal (still hurts) when I take it off, then 30 minutes later it will be puffed back up again.

Asking Reddit at this point because not paying another $400 for a 8 minute consultation :(

My 17 year old male cat started limping His right hind leg in September. He limped for a few days, afterwards He walked normal again for the next few months, until in the end of November the limping started again.

We took Him to vet 30th of November, they suspected arthritis. 2.5 weeks later we took Him to the vet again because the limping got worse, now they started to suspect some other problem, and told us to visit a vet that has an X-ray.

22th of December we got the X-rays done, they told us He has a tumor (most likely an osteosarcoma) in the femur of His hind leg.
I thought in worst case scenario it would be something related to His ACL, so I was pretty shocked after I heard the tumor diagnosis.

After getting home, I started reading about tumors, I found that there's some bacterial and fungal infections that can look very similar to osteosarcoma in X-rays.
He's an indoor-outdoor cat, who gets dozens of ticks, and eats dozens of mice every year. So He could be susceptible to these kinds of infections?

I also read that alkaline phosphatase value should be elevated in the case of osteosarcoma, which was only 59U/l (15-100) in His lab results from 30th of November.

Here's His X-rays: https://imgur.com/a/eMf0QR2

Could this be an osteomyelitis caused by a bacterial/fungal infection, or does it look more like a definite osteosarcoma.
Does anybody know if bacterial/fungal infections that can cause osteomyelitis are even present in Northern Europe?

Thank you.

M25, I've been getting random bouts of toe pain for just over a year, swelling with intense pain which all seems to point to Gout. Mine is a bit odd as it is only painful in my big toe's second joint but I've been told it can form in any joint. I've had many trips to the GP, bloods always returning on the lower end of normal UA, x-ray and ultrasound all clear. Recently went for an MRI and shortly after I was told by my GP to head to ED as it looks like I have an infection (septic arthritis and possible osteomyelitis). Had bloods taken, no infection markers and the doctor pointed to possible Gout. Tried to perform a joint aspiration but as the joint is rather small he wasn't able to get anything.

Not looking for a diagnosis (I presume it's Gout at this point), refereed to a specialist where hopefully that will happen soon. I was just curious if anyone else has had a similar experience?

Any comment/justification is appreciated.

So far, I can only justify this because the vertebra column has a very rich blood supply.

In that classic scenario with vertebral osteomyelitis suspicion elevated esr uworld says next steps should be X ray and if normal x ray with raised esr then do mri

But uptodate and every other source says MRI

For an nbme what would we pick ?

Hi, I’m 23F. Can you share your experience with osteomyelitis or bone infection? I’m suspecting that I have one, since I started getting this hard lump on my jaw bone that my face looked like it’s swelling. My dentist gave me another round of Amoxicillin but it’s not doing anything. I’m almost a month post op and I don’t know why I’m still swelling. I don’t experience much pain but this lump is really annoying. I still can’t open my mouth fully, still have trouble eating because it hurts my jaw a little bit.

I keep seeing conflicting info on this. Some say salmonella and some say staph aureus. Which one would be correct when both are present as answer choices in a question?

2 year old male, otherwise healthy, developed an respiratory infection Saturday (runny nose, viral conjunctivitis, cough, afebrile). Sunday morning, suddenly couldn’t bear weight on left leg. Went to ER, ultrasound and X-rays of hip and leg were normal. Labs came back with elevated CRP (90 ng/L) and ESR (21), procalcitonin was 0.44 and WBC 10. All other lab results were normal. After 2 doses of Motrin and 1 dose of Tylenol, he could walk with assistance but had a limp. Admitted to local children’s hospital. Repeat labs came back with CRP increased to 110 ng/L and he spiked a fever of 102.5. Regular doses of Motrin seem to improve pain levels enough to where he can walk and even run a little while favoring left leg slightly. Labs repeated again after second night (fever still present) and CRP was the same at 110 ng/L and ESR increased to 39. WBC was lower, at 9.4. He required low flow O2 overnight for sats of 85% on room air. Blood cultures came back normal. Viral panel came back positive for Parainfluenza 4. Doctors were very concerned for osteomyelitis or septic arthritis due to abnormal labs with increasing inflammation markers, but held off on further testing due to how much the NSAIDS helped. After a 2 night stay, we were discharged home quickly with a diagnosis of toxic synovitis after a new doctor group took over.

Does this sound like a proper diagnosis based on the available information? We are home now with a relatively happy 2 year old that is walking almost normal with continued Motrin. Still not eating, for 3 days now, and has lost 1.5 Ibs. But does spike fevers in the evening despite upper respiratory illness almost completely improved. We are following up with our pediatrician soon.

I'm 37, female, 5'3", 155lbs, Caucasian, 3 months, Massachusetts, face/jaw/teeth, no other medical concerns, Omeprazole/Seroquel/Concerta/lamictal. Allergic to penicillin.

About end of March I started noticing this crawling, burning sensation in my jaw and teeth. Started feeling weak, shaky, flushed and feverish. Couldn't see a dentist right away so I called a teledentist and she prescribed Clindamycin.

I took the whole course religiously. At the end I felt a lot better but honestly could tell it had not cleared it fully. I made a dentist appointment for as soon as I could but it was a few weeks and in that time period it got way worse again. I started to feel it in my face and nose and chin.

I called the dentist again and he prescribed another course of clindamycin. Again it helped but definitely did not clear it. I finished the course three days before my dentist appointment. They did the x-rays and didn't see any abscess but I figured it was because I had just finished.

I finished the last course jun 15th and now it's the worst it's ever been. The dentist says she still doesn't see an abscess but I swear to God it's because it's in my bone. She referred me to my GP. Who referred me back to the dentist. As of this weekend it's spread into my sinuses and I'm on a third round this time of doxycycline.

They did a CT at the ED last weekend and saw the sinus infection but didn't notice any bone loss. However I had asked the nurse before the scan and she had told me they would only be able to tell if they had a prior scan to compare.

My face is changing rapidly. My chin no longer has a point, my eyebrows droop and have extra skin, my right eyeball kind of moves when I lay on my side like it's loose in the socket. I can feel it in the soft tissue in my nose and neck, behind my eyes and in my ears. The bridge of my nose is now incredibly thin as if I'm losing cartilage. My skin is starting to feel slightly carbonated. I'm concerned about nerve damage. I can't get anyone to listen to me. I need stronger antibiotics. I'm weak, shaky, my heart feels thin, can't eat, I've lost 15lbs, having bloody diarrhea, increased tinnitus and moments of hearing loss. Trouble concentrating and memory loss. All of which I told the ED doctor and he didn't think it was very serious.

I don't know what to do. I feel like I'm going to lose my face or even die before anyone notices. I'm crying myself to sleep from the pain in my jaw.

I asked the ED doc to biopsy my bone or do a

I know that some people do not like to boil pills but trust me, most opiates degrade at temperatures higher than 270 degrees so as long as you just let the solution reach a boil than remove the heat you will not destroy any of the opiates in solution. when I say let it boil and remove the heat what I mean is heating the solution for 3 to 5 minutes letting it reach a boil then lowering the heat slightly so that it does not continue to boil and moving the lighter around to another cooler are of the solution.

So why should you always boil? To kill any bacteria present in the solution. Some bacteria will inevitabley enter your blood stream if you are shooting up, but you can minimize the amount. Alcohol to disinfect the injection site before and after, clean needles, and boiling the solution, with the cotton in it!

For 6 years of my IV career I boiled my solutions and disinfected the areas I used at and never had an abscess. Then things in my life got hectic and I stopped boiling my solution because I wanted to be more discrete about cooking up my dope for IV.

After only A WEEK of shooting up daily without boiling I developed a sever bone infection of my spine, osteomyelitis. Luckily I survived but I know three other people from my highschool grade alone who died from IV acquired infections. I don't know any who have overdosed and died. Infections are by far the most deadly aspect of self-adminstered IV, so please be careful.

Luckily I'm back at 100% health-wise now and I exercise regularly and have no permanent side effects. If the infection had been higher up in my spinal column I could have ended up paralyzed for life. No longer using IV atm but on methadone.

EDIT 2: with pills you absolutely need to put it in the fridge and cool it down before injecting it or you could inject nasty pill fillers that are hot-water soluble. when you put it in the fridge and it cools down all of the pill filler should crash out of solution. but it is ABSOLUTELY a better idea is to get a kit with clean sterile water, and filters and try to handle the pill as little as possible and IV it using those supplies.

EDIT: WHEEL FILTERS AND BACTERIOSTATIC WATER ARE THE ABSOLUTE GOLD STANDARD IF YOU ARE REALLY WORRIED ABOUT YOUR HEALTH!

unfortunately most IV addicts are not in a position to afford it. also this post applies to H more than pills.

adult osteomyelitis m/c involve epiphyses

childhood osteomyelitis involves metaphyses

can someone explain me the reason why??

anking card says "seeding into epihyses/metaphyses" why/how?

39-year-old here, t1 since I was five. Last week my foot just started to hurt, and my big toe had turned a bit red, so I went to my doctor. She thought it was gout and gave me a 3-day drug. It did nothing, and by yesterday my foot had puffed up all way to my ankle.

Went to urgent care and saw a different doctor yesterday morning. They did X-rays and blood work, and it turns out it's osteomyelitis or a bone infection. They gave me heavy duty antibiotics, and am supposed to get a bone scan asap. (But this is Canada, Alberta, and our system is so backed up). So now I'm freaking out and reading online about diabetes, amputations, all that terrifying stuff.

I have no cuts or wounds on my feet, and they're actually in great shape. My A1C has been 6.5 to 7 ever since I got a pump four years ago. My theory is I developed this at the end of June when I took my dog and kids to the mountains and walked through a creek with wet shoes right before coming home. Changed my shoes almost immediately before getting in the car, but that's my best guess. I've got some numb patches around my feet, maybe I just didn't feel it for a month while an infection was brewing.

I guess now I wait while antibiotics do their thing.

Hey guys, I'm so confused as these two AnKing cards seem to be controversial.

Does osteomyelitis in adults arise in the vertebral column or in the epiphysis of long bones?

https://preview.redd.it/st5iprs410r61.png?width=478&format=png&auto=webp&s=1f91be158278f4a1074926be5c87268beebf3ca1

https://preview.redd.it/zjo645c710r61.png?width=730&format=png&auto=webp&s=cda9ddb3b69de51d50e92c51b8ff4750e89c769e

It's all in the title, can someone explain to me what the difference is please? I didn't think there was a difference but UW is tripping me the heck up!

• Species: Cat
• Age: 16
• Sex/Neuter status: Male
• Breed: No Idea
• Body weight: 10 pounds
• History: Osteomyelitis + Peridontal Disease + Stage 2 Kidney Disease
• Duration: about 2 weeks

My elderly cat was recently diagnosed with Osteomyelitis + Peridontal Disease + Stage 2 Kidney Disease. He's been healthy up until then. He has an abscess in his mouth caused by the Osteomyelitis. He was given some antibiotics, but now he's taken them all. The abscess has remained about the same (I think). And He's been in great spirits since changing his diet for Kidney disease.

My question is this: Surgery was recommended for him by the vet but I probably can't afford it and it's super risky with his Kidney Disease.

What should I do?

What would be ideal?

For now I'm monitoring his abscess, which he'll let me look at. But he has a hard time closing his mouth due to it. How do I know the abscess isn't getting worse?

My partner and I recently took in a young (<3 years) male Domestic shorthair that showed up at our house with nasty wounds to his hindquarters and tail. We've been treating him for 8 weeks with various antibiotics and anesthetized wound cleanings (and had him neutered), but yesterday we noticed another open wound in the same general area. Our vet saw him again today and is recommending amputation of the tail.

During an earlier visit, the vet noticed that the tail appeared to have a break and took an x-ray. She noticed inflammation on the film and was concerned about the possibility of osteomyelitis, so she sent the films to a pathologist. The pathologist and my vet both agreed that it might just be a healing fracture, but we should keep an eye on it. Repeat film today showed no improvement, and that coupled with the continued wounds makes the vet confident that it was osteomyelitis. I don't regret that we tried the conservative option first, but it seems to me that with no improvement in two months it's time to be more aggressive. I wish he could keep his tail, but I'd rather have him healthy.

My partner is a bit frustrated because he doesn't understand how a broken bone and a bone infection could look similar on x-ray. He's also not sure if we should get any additional testing to confirm the osteomyelitis. He's not arguing against the amputation, but it would help him if he could understand a bit more about how we got to this decision. If anyone could explain the imaging uncertainty or comment on any other diagnostic procedures that might be used, that would be great.