Osteomyelitis is an inflammatory bone disease that is caused by infecting microorganisms and leads to progressive bone destruction and loss. The most common causative species are the usually commensal staphylococci, with Staphylococcal aureus and staphylococcal epidermidis responsible for majority of the cases. It can happen is a bacterial or fungal infection enters into the bloodstream, due to injury or surgery. Osteomyelitis in children is a serious disease requiring early diagnosis and treatment to minimize the risk of sequelae. Symptoms include deep pain and muscle spasms in the inflammation area, pain. Around 80 percent of cases develop because of an open wound. The case study is about a 10-year-old girl who was diagnosed with chronic osteomyelitis with pathological fracture of right femur. The patient has a history of chronic discharge present on the posterior aspect of the right thigh for 1 month. Fever, weakness and swelling present. Her past medical and medication history includes a history of fracture and lateral aspect of the distal right femur for 2 years, using pain relievers, neosporin powders for 2 years. X-ray, culture report, blood tests were done. By this test patient had confirmed that she had chronic osteomyelitis to the right femur, the patient is anemic. The treatment approach through wound debridement of devitalized tissues and necrotic bone, the commencement of culture directed antibiotics, antipyretics and vitamin supplements are given to the patient. After 10 days of antibiotic administration, debridement done to remove the bacteria load and devitalized bone.
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