Family Practice Examination & Board Review, Third Edition by Graber Mark & Wilbur Jason

Author:Graber, Mark & Wilbur, Jason
Language: eng
Format: epub
Publisher: McGraw-Hill Education
Published: 2012-11-22T16:00:00+00:00

You consult your pediatric orthopedic colleagues who take the infant to the operating room to wash out the joint and obtain cultures. An x-ray shows a lytic lesion in the proximal humerus.

Cultures of the joint and bone grow GBS. What is the length of antibiotic treatment?

A) 7 days.

B) 10 days.

C) 4 weeks.

D) 3 months.

E) 1 year.

Discussion

The correct answer is “C.” Acute osteomyelitis is treated with antibiotics for a minimum of 3 weeks with most courses lasting 4–6 weeks. The majority of patients may be treated initially with intravenous antibiotics followed by transition to oral antibiotics after clinical improvement and lack of contraindication to oral therapy. In neonates, the entire course is frequently completed intravenously due to lack of clinical trials. Even with appropriate treatment, neonatal osteomyelitis may result in permanent deformities to the bone or joint with resulting decreased range of motion, asymmetric limb length, and abnormal gait; therefore, long-term follow-up is mandatory.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.