Chronic Osteomyelitis secondary to acute osteomyelitis:
Chronic osteomyelitis from contiguous soft tissue infection is becoming more common because of the increasing prevalence of diabetic foot infections and peripheral vascular disease. Up to one-half of patients with diabetes develop peripheral neuropathy, which may reduce their awareness of wounds and increase the risk of unrecognised infections. Peripheral vascular disease, which is also common in patients with diabetes, reduces the body's healing response and contributes to chronically open wounds and subsequent soft tissue infection. These conditions may act synergistically to increase the risk of osteomyelitis in these patients significantly.
Garre's sclerosing osteomyelitis is a specific type of chronic osteomyelitis that mainly affects children and young adults. This disease entity is well-described in dental literature and associated in common with an odontogenic infection resulting from dental caries. It begins with acute local pain, fever, and swelling. However, pain and fever, but fust form osseous enlargement persists. There would be no tenderness on deep palpation. It can be treated with broad-spectrum antibiotics sometimes.
A particular type of osteomyelitis in which body defence mechanisms have been able to contain the infection to create a chronic bone abscess containing pus or jelly-like granulation tissue surrounded by a zone of sclerosis. Clinical features: It’s between the age 11-20 years and causes deep, intense pain which found predominantly, the symptoms may become wore at on walking and heals by taking rest. Surgical evacuation and curettage can treat it under antibiotics covers.