Thelansis

  Bone and joint infections present formidable challenges in management and often lead to severe morbidity. They can instigate acute sepsis, destroying bone and joint tissues, chronic pain, persistent discharge from wounds, and lasting disability. Spinal infections typically arise either through hematogenous spread or post-surgical complications. Diagnostic imaging, primarily MRI (or CT if MRI is unsuitable), is essential for detecting signs of epidural abscess, discitis, vertebral osteomyelitis, and, crucially, indications of spinal cord or cauda equina compression, or vertebral instability necessitating urgent surgical intervention. Acute septic arthritis can affect any joint, with the knee being the most commonly affected, though wrists, ankles, hips, and the symphysis pubis may also be involved. Fever and localized pain typically manifest in acute osteomyelitis, while other skeletal sites should be evaluated as multifocal osteomyelitis is plausible. Diabetic fo...