What is the clinical presentation of Pseudomonas bone infections?

Updated: Dec 17, 2018
  • Author: Selina SP Chen, MD, MPH; Chief Editor: Russell W Steele, MD  more...
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Answer

Bone infections

  • Because pseudomonal infections have a predilection for fibrocartilaginous joints of the axial skeleton, determining whether arthritis preceded or resulted from the infection is difficult. The disease process is usually indolent, and it is not as destructive and does not progress as rapidly as other infections.

  • Pseudomonal osteochondritis presents with a superficial area of cellulitis on the plantar surface of the foot; deep palpation reveals slight tenderness.

  • Physical signs of sternoarticular pyarthrosis include erythema, edema, and tenderness over the affected joint, and restricted range of motion of the ipsilateral shoulder.

  • Physical signs in patients with vertebral osteomyelitis include local tenderness and decreased range of motion of the spine. Neurologic deficits, which tend to be mild, occur in approximately 15% of cases.

  • Differentiate between patients with infection of the pubic symphysis and those with osteitis pubis.


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