Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a long-standing history of localized bone pain, recurrent sinus tract drainage, and intermittent low-grade fevers. Symptoms have persisted for [Duration], with prior history of [Fracture/Surgery/Infection] at the site. Patient reports localized erythema, warmth, and swelling, with no systemic signs of acute sepsis.
Clinical Examination Findings
Physical examination reveals [Site] with evidence of a chronic sinus tract, surrounding induration, and localized tenderness to palpation. No evidence of neurovascular compromise distally. Range of motion at adjacent joints is [Limited/Preserved]. Skin integrity shows [Scarring/Ulceration/Sinus tract].
Treatment Protocol
Plan includes surgical debridement of necrotic bone and sequestrectomy, followed by culture-directed long-term intravenous antibiotic therapy for [Duration]. Wound management via [VAC therapy/local wound care]. Infectious disease consultation requested for antimicrobial stewardship. Monitor inflammatory markers (ESR, CRP) serially.