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Osteomyelitis: Diagnosis

 
Medical Encyclopedia: Osteomyelitis: Diagnosis

Diagnosis of osteomyelitis involves several procedures. Blood is usually drawn and tested to demonstrate an increased number of the infection-fighting white blood cells (particularly elevated in children with acute osteomyelitis). Blood is also cultured in a laboratory, a process which allows any bacteria present to multiply. A specimen from the culture is then specially treated, and examined under a microscope to try to identify the causative bacteria.

Injection of certain radioactive elements into the bloodstream, followed by a series of x-ray pictures, called a scan (radionuclide scanning), will reveal areas of bone inflammation. Another type of scan used to diagnose osteomyelitis is called magnetic resonance imaging, or MRI

When pockets of pus are available, or overlaying soft tissue infection exists, these can serve as sources for samples which can be cultured to allow identification of bacteria present. A long, sharp needle can be used to obtain a specimen of bone (biopsy), which can then be tested to attempt to identify any bacteria present.

— Rosalyn Carson-DeWitt, MD



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