What is osteomyelitis?

Osteomyelitis is a bone infection that requires treatment as soon as possible. When bacteria or fungi infect a bone, they can cause inflammation. Without timely treatment, this inflammation can lead to serious complications.

A rare condition, osteomyelitis can occur at any age and affect any bone. In adults, this infection usually occurs in the feet, vertebrae in your back or pelvis. Children, on the other hand, are more likely to develop osteomyelitis in the long bones of the arms and legs, such as the femur.

doctor reviewing a patient's X-rays with signs of osteomyelitis

Osteomyelitis symptoms

Osteomyelitis can cause a variety of symptoms, but it’s not always clear that a bone infection is responsible. You may mistake signs of osteomyelitis for symptoms of another illness, such as a common viral infection. These symptoms can disrupt your life by giving you a general feeling of being ill and tired, and causing discomfort and skin changes near the infection site.

Bone infection symptoms include:

  • Bone pain
  • Chills
  • Discharge of pus from a wound
  • Discolored skin at the infection site
  • Fever
  • Heat, redness or swelling at the infection site
  • Nausea
  • Sweating
  • Vomiting

When to see a doctor

What causes osteomyelitis?

Most cases of osteomyelitis result from bacterial infections, but fungal infections can also cause this disease. Osteomyelitis occurs when bacteria or fungi infect the bone marrow and cause inflammation. Germs can reach the bones in several ways, including:

  • Entering the body through a wound caused by injury or surgery
  • Spreading from nearby skin or tissue
  • Traveling through the blood from infected areas of the body

Bone infection risk factors

Osteomyelitis can affect anyone, but certain people are at a higher risk, including those who:

  • Are under 20 or over 50 years old
  • Have open wounds from injuries or trauma
  • Have recently undergone surgery, particularly joint replacements (arthroplasty) or procedures involving implanted devices like pins or screws for bone fracture repair
  • Experience puncture wounds
  • Develop bedsores, also known as pressure ulcers

Additionally, people with weakened immune systems due to health conditions or treatments are more likely to develop osteomyelitis. These include those with:

  • Sickle cell anemia
  • Diabetes, especially if they have diabetic foot ulcers
  • A need for immunosuppressant medications
  • Dependence on hemodialysis
patient suffering from osteomyelitis receiving comfort from a nurse

Complications

The sooner you start treatment for osteomyelitis, the more likely you are to avoid serious complications. Without treatment, osteomyelitis can damage your bone. Eventually, if inflammation from the infection cuts off the bone’s blood supply, the bone may die. In rare cases, amputation may be necessary.

Bone death, or osteonecrosis, is the most serious complication of osteomyelitis, but not the only one. Other complications may include:

Abscesses

Osteomyelitis may cause pus to gather near the infection site. Buildups of pus called abscesses can be painful and burst through the skin.

How is a bone infection diagnosed?

If you experience symptoms of osteomyelitis, act quickly. Seeking medical help as soon as possible not only boosts your chances of protecting your bones and avoiding complications but can also help you find relief from symptoms faster. Your doctor will use many diagnostic tools to pinpoint the cause of your symptoms, from a medical history and exam to imaging and blood tests and, potentially, a bone marrow biopsy.

Osteomyelitis treatment

Your doctor will create a treatment plan for osteomyelitis based on your age, overall health, the severity of your condition, how well you can tolerate certain medications or procedures, what to expect during recovery and your personal preferences. The goal of treatment is to cure the infection and prevent any long-term complications. Treatment options may include:

Medication

Medications play two roles in treating osteomyelitis: They destroy the bacteria or fungi causing the infection and treat symptoms, such as pain and swelling. Whether you take bacteria- or fungi-targeting medications, be sure to finish the whole course. Stopping early, even if your symptoms get better, may leave some of the germs alive. As a result, the infection could return in the future.

  • Antibiotics: If you have a bacterial infection, you’ll receive antibiotics for at least four to six weeks. You’ll likely start by receiving antibiotics intravenously (through a vein) before transitioning to oral medication.
  • Antifungals: You’ll take these medications if you have osteomyelitis caused by fungi, which is less common than the bacterial version. Antifungals are available orally, and you may need to take them for a few months.
  • Over-the-counter pain relievers: While the antibiotics or antifungals attack the infection itself, you can manage pain and other symptoms by taking acetaminophen or a nonsteroidal anti-inflammatory drug, which are available without a prescription.

Find specialized care for osteomyelitis

We offer several locations for your care, including orthopedic specialty centers in North and Central Texas.

Baylor Scott & White - Plano Brain and Spine Center

4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093

Not accepting walk-ins

Baylor Scott & White - The Brenham Clinic

600 N Park St , Brenham, TX, 77833

Not accepting walk-ins

Accepting walk-ins

Baylor Scott & White Clinic - Austin Downtown

200 E Cesar Chavez St Ste G140, Austin, TX, 78701

Not accepting walk-ins

Baylor Scott & White Clinic - Austin North Burnet

2608 Brockton Dr , Austin, TX, 78758

Not accepting walk-ins

Baylor Scott & White Clinic - Austin Oak Hill

5251 US 290 , Austin, TX, 78735

Not accepting walk-ins

Baylor Scott & White Clinic - Buda Medical Center

5330 Overpass Rd Ste 100, Buda, TX, 78610

Not accepting walk-ins

Baylor Scott & White Clinic - Cedar Park

910 E Whitestone Blvd , Cedar Park, TX, 78613

Not accepting walk-ins

Baylor Scott & White Clinic - College Station Rock Prairie

800 Scott and White Dr , College Station, TX, 77845

Not accepting walk-ins

Baylor Scott & White Clinic - College Station University Drive

1700 University Dr E , College Station, TX, 77840

Not accepting walk-ins

Baylor Scott & White Clinic - Georgetown

4945 Williams Dr , Georgetown, TX, 78633

Not accepting walk-ins

Baylor Scott & White Clinic - Pflugerville Medical Center (Building 1)

2600 E Pflugerville Pkwy Bldg 1, Ste 200, Pflugerville, TX, 78660

Not accepting walk-ins

Baylor Scott & White Clinic - Pflugerville Medical Center Building 2

2600 E Pflugerville Pkwy Building 2, Pflugerville, TX, 78660

Not accepting walk-ins

Baylor Scott & White Clinic - Round Rock 300 University

300A University Blvd , Round Rock, TX, 78665

Not accepting walk-ins

Baylor Scott & White Clinic - Taylor

403 Mallard Ln , Taylor, TX, 76574

Not accepting walk-ins

Baylor Scott & White Clinic - Temple

2401 S 31st St , Temple, TX, 76508

Not accepting walk-ins

Baylor Scott & White Greater Dallas Orthopaedics

12230 Coit Rd Ste 100, Dallas, TX, 75251

Not accepting walk-ins

Baylor Scott & White Greater Dallas Orthopaedics - Irving

2001 N MacArthur Blvd Ste 630, Irving, TX, 75061

Not accepting walk-ins

Baylor Scott & White Greater Dallas Orthopaedics - Lake Pointe

6705 Heritage Pkwy Ste 203, Rockwall, TX, 75087

Not accepting walk-ins

Baylor Scott & White Hillcrest Orthopedic Trauma - Waco

140 Hillcrest Medical Blvd Second Floor, Waco, TX, 76712

Not accepting walk-ins

Baylor Scott & White Hip Preservation Center - McKinney

5220 W University Dr Ste 220, McKinney, TX, 75071

Not accepting walk-ins

Baylor Scott & White Medical Center - Austin

5245 W US Hwy 290 Service Rd , Austin, TX, 78735

Accepting walk-ins

Baylor Scott & White Medical Center - Brenham

700 Medical Pkwy , Brenham, TX, 77833

Accepting walk-ins

Baylor Scott & White Medical Center - Buda

5330 Overpass Rd , Buda, TX, 78610

Accepting walk-ins

Baylor Scott & White Medical Center - Centennial

12505 Lebanon Rd , Frisco, TX, 75035

Accepting walk-ins

Baylor Scott & White Medical Center - College Station

700 Scott and White Dr , College Station, TX, 77845

Accepting walk-ins

Baylor Scott & White Medical Center - Frisco

5601 Warren Pkwy , Frisco, TX, 75034

Accepting walk-ins

Baylor Scott & White Medical Center - Grapevine

1650 W College St , Grapevine, TX, 76051

Accepting walk-ins

Baylor Scott & White Medical Center - Hillcrest

100 Hillcrest Medical Blvd , Waco, TX, 76712

Accepting walk-ins

Baylor Scott & White Medical Center - Irving

1901 N MacArthur Blvd , Irving, TX, 75061

Accepting walk-ins

Baylor Scott & White Medical Center - Lake Pointe

6800 Scenic Dr , Rowlett, TX, 75088

Accepting walk-ins

Baylor Scott & White Medical Center - Lakeway

100 Medical Pkwy , Lakeway, TX, 78738

Accepting walk-ins

Baylor Scott & White Medical Center - Marble Falls

810 W State Hwy 71 , Marble Falls, TX, 78654

Accepting walk-ins

Baylor Scott & White Medical Center - McKinney

5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071

Accepting walk-ins

Baylor Scott & White Medical Center - Pflugerville (Building 1)

2600 E Pflugerville Pkwy Bldg 1, Ste 100, Pflugerville, TX, 78660

Accepting walk-ins

Baylor Scott & White Medical Center - Plano

4700 Alliance Blvd , Plano, TX, 75093

Accepting walk-ins

Baylor Scott & White Medical Center - Round Rock

300 University Blvd , Round Rock, TX, 78665

Accepting walk-ins

Baylor Scott & White Medical Center - Sunnyvale

231 S Collins Rd , Sunnyvale, TX, 75182

Accepting walk-ins

Baylor Scott & White Medical Center - Taylor

305 Mallard Ln , Taylor, TX, 76574

Accepting walk-ins

Baylor Scott & White Medical Center - Temple

2401 S 31st St , Temple, TX, 76508

Accepting walk-ins

Baylor Scott & White Medical Center - Trophy Club

2850 E State Highway 114 , Trophy Club, TX, 76262

Accepting walk-ins

Baylor Scott & White Medical Center - Uptown

2727 E Lemmon Ave , Dallas, TX, 75204

Accepting walk-ins

Baylor Scott & White Medical Center - Waxahachie

2400 N Interstate 35E , Waxahachie, TX, 75165

Accepting walk-ins

Baylor Scott & White Orthopaedic Trauma Associates - Dallas

3409 Worth St Ste 300, Dallas, TX, 75246

Not accepting walk-ins

Baylor Scott & White Orthopaedic Trauma Associates - Frisco at PGA Parkway

16050 Everwell Ln Professional Pavilion I, Ste 310, Frisco, TX, 75033

Not accepting walk-ins

Baylor Scott & White Orthopaedic Trauma Associates - Grapevine

1631 Lancaster Dr Ste 230, Grapevine, TX, 76051

Not accepting walk-ins

Baylor Scott & White Orthopaedic Trauma Associates - McKinney

5220 W University Dr POB II, Ste 220, McKinney, TX, 75071

Not accepting walk-ins

Baylor Scott & White Orthopedic and Spine Hospital - Arlington

707 Highlander Blvd , Arlington, TX, 76015

Accepting walk-ins

Baylor Scott & White Orthopedic Associates of Dallas

3900 Junius St Ste 500, Dallas, TX, 75246

Not accepting walk-ins

Frequently asked questions

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