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Increasingly
compromise
Intraosseous the blood
pressure rise supply
Acute
imflammatory
reaction
Pathogenesis
a. Infection in the
metaphysis may speard
toward surface
b. Encased in periosteal
newborn as a
sequestrum
c. Encasing involucrum is
sometimes perforated
by sinus.
Differential diagnosis
• Cellulitis. There is widespread superficial redness and lymphangitis
• Acute suppurative arthritis. Tenderness is diffuse, and movement at the joint is
completely abolished by muscle spasm
• Streptococcal necrotizing myositis. Occasionally invade muscles and cause an acute
myositis which, in its early stages, may be mistaken for cellulitis or
osteomyelitis
Classification
Clinical features
• Severe pain
• Malaise and fever
• Fails to thrive
• Drowsy
Diagnosis (Plain X-ray)