Article Figures & Data
Figures
- Figure.
Magnetic resonance imaging of right ankle shows distal fibular osteomyelitis with subperiosteal abscess.
Tables
Clinical Association/Risk Factor Common Microorganism Sickle cell disease Staphylococcus aureus, Salmonella spp, Streptococcus pneumoniae Trauma Polymicrobial (gram-negative, gram-positive, and anaerobic bacteria) Chronic granulomatous disease Serratia spp, Nocardia spp, Burkholderia cepacia, Aspergillus spp Intravenous drug use Staphylococcus aureus, Pseudomonas aeruginosa, Candida spp Animal or human bites Pasteurella multocida, Eikenella corrodens Kitten exposure, HIV infection Bartonella henselae Exposure to farm animals Coxiella burnetii Diabetes Polymicrobial (Staphylococcus aureus common, coagulase-negative Staphylococci, Streptococci, Enterobacteriaceae, and anaerobic bacteria) Puncture wound Staphylococcus aureus, Pseudomonas aeruginosa HIV, human immunodeficiency virus.
Organism Treatment Alternatives Methicillin-susceptible Staphylococcus aureus Antistaphylococcal penicillinsa Cefazolin, clindamycin Methicillin-resistant Staphylococcus aureus Clindamycin,b vancomycin Linezolid, daptomycin, trimethoprim-sulfamethoxazole Group A Streptococcus Penicillin G, ampicillin, amoxicillin Clindamycinb Streptococcus pneumoniae Ceftriaxone,b clindamycinb Vancomycin Penicillin Gb Ampicillin, amoxicillinb Kingella kingae Ampicillin or ampicillin-sulbactam Cephalosporin Enteric gram-negative rods Ceftriaxone Ciprofloxacin Pseudomonas aeruginosa Ceftazidime, ticarcillin-clavulanate Ciprofloxacin Neisseria gonorrhoeae Ceftriaxone Penicillin Gb Salmonella spp Ceftriaxone Ampicillinb Anaerobes Penicillin, clindamycin Metronidazole, meropenem - Table 3.
Oral Antibiotic Dosages for Treating Acute Hematogenous Osteomyelitis in Children5,37
Antibiotic Dose, mg/kg/day Doses/day Clindamycin 30-40 3-4 Cephalexin 100 4 Dicloxacillin 75-100 4 Amoxicillin 100 4
