Bone and Joint Infections

Parent: MOC - Diseases by System · Workflow: MOC - Clinical Microbiology

Disease Notes

Syndromes

SyndromeDisease noteFirst specimens / methods
Acute osteomyelitisAcute OsteomyelitisBlood culture; bone biopsy culture
Chronic osteomyelitisTBDOperative cultures; imaging
Septic arthritisSeptic ArthritisSynovial Gram Stain + culture
Prosthetic joint infectionTBDAspiration / OR; Biofilm

Pathogens (starter)

  • Staphylococcus aureus (all ages — top overall)
  • Streptococci, GNRs, Kingella (kids), gonococcus (sexually active — TBD)
  • CoNS / Cutibacterium on prostheses (TBD)

Key Concepts

  • Long therapy + often surgical debridement
  • Biofilm on hardware changes cure strategy