Can chronic osteomyelitis be cured?

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Is chronic osteomyelitis curable?

Most cases of osteomyelitis are treatable. Chronic infections of the bone, however, may take longer to treat and heal, especially if they require surgery. Treatment should be aggressive because an amputation can become necessary sometimes. The outlook for this condition is good if the infection is treated early.

Can chronic osteomyelitis come back?

In adults, osteomyelitis can be either acute or chronic. People with diabetes, HIV, or peripheral vascular disease are more prone to chronic osteomyelitis, which persists or recurs, despite treatment.

What is the treatment for chronic osteomyelitis?

Chronic osteomyelitis is generally treated with antibiotics and surgical debridement but can persist intermittently for years with frequent therapeutic failure or relapse. Despite advances in both antibiotic and surgical treatment, the long‐term recurrence rate remains around 20%.

How long does chronic osteomyelitis take to heal?

The optimal duration of antibiotic treatment and route of delivery are unclear. 36 For chronic osteomyelitis, parenteral antibiotic therapy for two to six weeks is generally recommended, with a transition to oral antibiotics for a total treatment period of four to eight weeks.

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What happens if osteomyelitis is untreated?

Osteomyelitis is a bacterial, or fungal, infection of the bone. Osteomyelitis affects about 2 out of every 10,000 people. If left untreated, the infection can become chronic and cause a loss of blood supply to the affected bone. When this happens, it can lead to the eventual death of the bone tissue.

What are the long term effects of osteomyelitis?

Osteomyelitis needs long-term care to prevent complications, such as: Fractures of the affected bone. Stunted growth in children, if the infection has involved the growth plate. Tissue death (gangrene) in the affected area.

What is the prognosis for osteomyelitis?

Outlook (Prognosis)

With treatment, the outcome for acute osteomyelitis is often good. The outlook is worse for those with long-term (chronic) osteomyelitis. Symptoms may come and go for years, even with surgery. Amputation may be needed, especially in people with diabetes or poor blood circulation.

How long can osteomyelitis be dormant?

Late onset osteomyelitis could occur up to 30 years after an initial complex fracture as an outburst of chronic silent osteomyelitis.

Can osteomyelitis lead to sepsis?

An infection of the bone, called osteomyelitis, could lead to sepsis. In people who are hospitalized, bacteria may enter through IV lines, surgical wounds, urinary catheters, and bed sores.

Can antibiotics cure chronic osteomyelitis?

The standard recommendation for treating chronic osteomyelitis is 6 weeks of parenteral antibiotic therapy. However, oral antibiotics are available that achieve adequate levels in bone, and there are now more published studies of oral than parenteral antibiotic therapy for patients with chronic osteomyelitis.

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Can you have osteomyelitis for years?

With treatment, the outcome for acute osteomyelitis is often good. The outlook is worse for those with long-term (chronic) osteomyelitis. Symptoms may come and go for years, even with surgery. Amputation may be needed, especially in people with diabetes or poor blood circulation.

When does osteomyelitis become chronic?

Acute osteomyelitis typically refers to an infection of less than 1 month’s duration, whereas chronic osteomyelitis refers to infection that lasts longer than 4 weeks.