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    Suzie Feeds The Bunny Osteomyelitis

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    Suzie was bitten on her finger by a pet rabbit. Four weeks later, her finger was still swollen and painful. An x-ray showed osteolytic changes and possible early Brodie's abscess in her finger bone. She was diagnosed with osteomyelitis, a bone infection. MRI of her arms and legs was performed to check for spread, as osteomyelitis commonly affects children's long bones. Osteomyelitis can be caused by local infection, trauma, or bloodborne spread. Treatment involves antibiotics, sometimes for several weeks, to prevent complications like impaired growth or bone damage.

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    Suzie Feeds The Bunny Osteomyelitis

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    api-292411774
    498 views8 pages
    Suzie was bitten on her finger by a pet rabbit. Four weeks later, her finger was still swollen and painful. An x-ray showed osteolytic changes and possible early Brodie's abscess in her finger bone. She was diagnosed with osteomyelitis, a bone infection. MRI of her arms and legs was performed to check for spread, as osteomyelitis commonly affects children's long bones. Osteomyelitis can be caused by local infection, trauma, or bloodborne spread. Treatment involves antibiotics, sometimes for several weeks, to prevent complications like impaired growth or bone damage.

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    Suzie was bitten on her finger by a pet rabbit. Four weeks later, her finger was still swollen and painful. An x-ray showed osteolytic changes and possible early Brodie's abscess in her finger bone. She was diagnosed with osteomyelitis, a bone infection. MRI of her arms and legs was performed to check for spread, as osteomyelitis commonly affects children's long bones. Osteomyelitis can be caused by local infection, trauma, or bloodborne spread. Treatment involves antibiotics, sometimes for several weeks, to prevent complications like impaired growth or bone damage.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    498 views8 pages

    Suzie Feeds The Bunny Osteomyelitis

    Uploaded by

    api-292411774
    Suzie was bitten on her finger by a pet rabbit. Four weeks later, her finger was still swollen and painful. An x-ray showed osteolytic changes and possible early Brodie's abscess in her finger bone. She was diagnosed with osteomyelitis, a bone infection. MRI of her arms and legs was performed to check for spread, as osteomyelitis commonly affects children's long bones. Osteomyelitis can be caused by local infection, trauma, or bloodborne spread. Treatment involves antibiotics, sometimes for several weeks, to prevent complications like impaired growth or bone damage.

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    © All Rights Reserved
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    Download as doc, pdf, or txt
    of 8

    Running Head: SUZIE FEEDS THE BUNNY

    Suzie Feeds the Bunny


    Jennifer Fernandez
    University of Saint Mary

    SUZIE FEEDS THE BUNNY

    Suzie Feeds the Bunny


    Suzie was bit by a domestic pet rabbit on her index finger. Later in the
    day her finger was red and swollen. When her mother asked how she hurt
    herself she replied I dunno. Suzies mother then placed triple antibiotic
    cream on the wound and a bandage. Suzie did not complain of pain
    associated with the bite injury, and her mother did not know it was from a
    rabbit bite. Four weeks later Suzies finger visually appeared healed,
    however it was still warm to the touch with local edema and erythema.
    Suzie also complained that she wasnt able to move the index finger like her
    other fingers and couldnt hold a crayon. Suzies mother then brought her to
    the orthopedic clinic. Suzie received an x-ray and then consequently a MRI
    of both of her arms and legs.

    X-ray results
    On Suzies x-ray on the dorsal aspect of the metaphysis of the distal
    phalanx there appears to be an osteolytic area. Some epiphyseal cartilage
    destruction with an infused epiphysis is noted. It is difficult to assess,
    however there may be the beginnings of a Brodies abscess. Regional
    osteopenia is noted with adjacent soft tissue swelling visible. The dorsal
    metaphysis appears hypo-lucent with moth-eaten or faded margins (Voit et.
    Al, 2015).

    Osteomyelitis

    SUZIE FEEDS THE BUNNY

    Osteomyelitis can be defined as inflammation and infection in


    the bone. Causes of osteomyelitis are: local areas of infection, penetrating
    trauma, or infection via the blood stream that settles inside the bone
    marrow. Since it appears to have affected Suzies metaphysis, transmission
    is probably more related via the blood stream. Signs and symptoms of
    osteomyelitis include fever or chills, irritability or lethargy in young
    children, pain in the area of the infection, and swelling, warmth and redness
    over the area of the infection. Sometimes osteomyelitis has no signs and
    symptoms or has signs and symptoms that are difficult to distinguish from
    other problems (Rao, Ziran, & Lipsky, 2011).

    Osteomyelitis Affected Areas


    Osteomyelitis typically affect the long bones, femur or humerus, in
    children. In adults the vertebral bones, feet, and hips or pelvic areas are
    more likely to be affected. However, since osteomyelitis can also result from
    recent surgical procedures, traumatic injury, prosthetic devices, or frequent
    medication injections, osteomyelitis can actually affect any bone or bone
    marrow (Rao, Ziran, & Lipsky, 2011).

    Prevention of Osteomyelitis
    Suzies osteomyelitic infection could have been prevented if her
    mother had brought her to the doctor after the event for prophylactic
    antibiotic treatment. It is understandable for the delay in care since Suzie

    SUZIE FEEDS THE BUNNY

    was not in any distress and did not inform her mother that the injury was a
    result of an animal bite. Good hygiene is a necessity to keep the wound
    clean, which her mother did clean the site with soap and water and apply a
    topical triple antibiotic cream and bandage. Suzie should wash her hands
    several times daily with soap and water and keep the wound loosely dressed
    with a gauze bandage (Rao, Ziran, & Lipsky, 2011).

    Complications of Untreated Osteomyelitis


    Complications of osteomyelitis can include: osteonecrosis from the
    disruption of blood circulation within the bone, septic arthritis, impaired
    growth if the growth plates are affected, and a higher risk of squamous skin
    cell cancer from the damage to the wounded tissue changing the cell
    structures. The osteomyelitis can also advance to a bone abscess, such as a
    Brodies abscess, if left untreated. A Brodie abscess is a sub-acute
    osteomyelitis that may persist for years and convert into chronic
    osteomyelitis (Walter, Kemmerer, Kappler, & Hoffmann, 2012).

    MRI Reasoning
    Suzie was given an MRI of her arms and legs to rule out further
    involvement of the osteomyelitis into the long bones. Since osteomyelitis is
    most common in the long bones in children she is considered high risk for
    further development. It is also paramount that she gets fully treated so as
    not to affect her growth plates, stunting her growth (Voit et, al, 2015).

    SUZIE FEEDS THE BUNNY

    Causes of Osteomyelitis
    Osteomyelitis can be caused by a number of factors. Traumatic
    penetrative injury, bloodstream infections, or local area infection can all be
    factors in the development of osteomyelitis. Staphylococcus is the most
    common infection to cause osteomyelitis, however, other bacteria and
    fungal infections may also cause it. People with diabetes mellitus,
    peripheral neuropathy, or peripheral vascular disease are at a higher risk of
    developing osteomyelitis. Conditions or patients taking medications that
    weaken their immune system are at a higher risk of developing
    osteomyelitis as well. Risk factors include cancer, chronic steroid use, sickle
    cell disease, human immunodeficiency virus (HIV), diabetes, hemodialysis,
    intravenous drug users, infants, and the elderly (Rao, Ziran, & Lipsky,
    2011).
    Osteomyelitis Treatment
    Treatment for acute osteomyelitis normally requires and
    irrigation and drainage if there is an abscess, along with a culture to specify
    the most sensitive antibiotic. If bone needs to be removed, it may need to be
    replaced with bone graft or stabilized during surgery. In some instances, the
    patient may need to wear a brace for stabilization. If bone needs to be
    removed due to excessive damage or osteonecrosis during surgery, a bone
    graft may also be necessary. In most cases treatment is effective with
    antibiotics and pain medication. The duration of treatment of osteomyelitis

    SUZIE FEEDS THE BUNNY

    with antibiotics is usually four to eight weeks but varies with the type of
    infection and the response to the treatments. The antibiotics normally need
    to be intravenous, so the patient will normally also require a PICC line
    insertion for the long term antibiotics and they can be taught to administer
    their own medications in the comfort of their own home. In some cases the
    use of a hyperbaric chamber may prove effective as well in treatment. The
    hyperbaric chamber will help promote healing by increasing oxygenation to
    the affected tissues, helping them heal faster (Rao, Ziran, & Lipsky, 2011).

    SUZIE FEEDS THE BUNNY

    7
    References

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    effectiveness and safety of oral linezolid for the primary and
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    Belthur, M. V., Birchansky, S. B., Verdugo, A. A., Mason, E. O., Hulten, K. G.,
    Kaplan, S. L., ... & Weinberg, J. (2012). Pathologic fractures in
    children with acute Staphylococcus aureus osteomyelitis. The Journal
    of Bone & Joint Surgery, 94(1), 34-42.
    Byren, I., Rege, S., Campanaro, E., Yankelev, S., Anastasiou, D., Kuropatkin,
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    pathogenesis and management of chronic recurrent multifocal
    osteomyelitis. Current rheumatology reports, 14(2), 130-141.

    SUZIE FEEDS THE BUNNY

    Kluin, O. S., van der Mei, H. C., Busscher, H. J., & Neut, D. (2013).
    Biodegradable vs non-biodegradable antibiotic delivery devices in the
    treatment of osteomyelitis. Expert opinion on drug delivery, 10(3),
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    Kremers, H. M., Nwojo, M. E., Ransom, J. E., Wood-Wentz, C. M., Melton, L.
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    Walter, G., Kemmerer, M., Kappler, C., & Hoffmann, R. (2012). Treatment
    algorithms for chronic osteomyelitis. Deutsches rzteblatt
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    Voit, A. M., Arnoldi, A. P., Douis, H., Bleisteiner, F., Jansson, M. K., Reiser, M.
    F., & Jansson, A. F. (2015). Whole-body Magnetic Resonance Imaging
    in Chronic Recurrent Multifocal Osteomyelitis: Clinical Long term
    Assessment May Underestimate Activity. The Journal of rheumatology,
    jrheum-141026.

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