title: Osteomyelitis of an epiphyseal region.
abstract: This case report involves the medical and surgical treatment of osteomyelitis of an epiphyseal region. No bone resection was performed. Rather, the patient was given a closed drainage system after incision and drainage of the affected part. Intravenous antibiotics singularly and in synergistic combination were provided throughout the 32-day hospital stay. The outcome showed that although there was early closure of the epiphyseal plate, a minimum of damage to the joint was evident after treatment. Although surgery appears to be the historical treatment of choice in osteomyelitis, conservative management of selected cases without resection of bone is a viable alternative.
mesh_terms: D000293:Adolescent; D004322:Drainage; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D005534:Foot Diseases / Q000628:therapy*; D006801:Humans; D007902:Length of Stay; D008297:Male; D009254:Nafcillin / Q000008:administration & dosage; D010019:Osteomyelitis / Q000628:therapy*; D011552:Pseudomonas Infections / Q000628:therapy*; D013203:Staphylococcal Infections / Q000628:therapy*; D013211:Staphylococcus aureus; D013982:Ticarcillin / Q000008:administration & dosage; D013997:Time Factors; D014031:Tobramycin / Q000008:administration & dosage; D014034:Toes
chemical_list: D009254:Nafcillin; D013982:Ticarcillin; D014031:Tobramycin