Infections of the bone or joints are often seen in children. They commonly follow septicaemia although occasionally may result from a penetrating injury. In children with sickle cell disease, more than one bone may be affected.
- The affected child looks sick and may be toxic.
- There is fever
- Limitation of movement of the affected limb.
- The affected limb is hot and extremely tender.
- The child may resist examination because of pain.Delay in treatment will result in bone or joint destruction. In the case of osteomyelitis a chronic discharging sinus
- Full blood count
- Blood culture
- X-ray of affected limb
- Joint aspirate for culture and sensitivity
- Give analgesics.
- Start antibiotic, penicillin and gentamicin, duration 4–6 weeks.
- Place limb in position of comfort.
- Refer to surgeon if
- Need to aspirate under anaesthesia.
- Chronic osteomyelitis if need to remove dead bone (sequestrum).