Bone, Joint and Soft Tissue Infections

Bone and joint infections are a significant cause of sickness in infants and young children and it cause permanent disability. Early recognition and prompt institution of appropriate medical and surgical therapy decrease permanent damage. The risk is greatest if the physis is damaged. Bone infections, or osteomyelitis, involve inflammation of the bone, usually caused by a bacterial infection. Soft tissue infections are common and usually respond rapidly to oral antibiotics; if empirical therapy fails then exposure to unusual organisms should be considered. Septic arthritis needs early recognition, identification of the infecting pathogen and urgent joint washout to prevent irreversible cartilage and bone destruction. Prosthetic joint infection is uncommon but has high injury; the best outcomes are achieved with removal of the prosthesis and replacement after at least six weeks of antibiotic therapy.


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