In this section
Any bone can be affected, but cancellous bone is more common such as the metaphyseal region of long bones.
Child is unwell with a fever, anorexia, localised tenderness or spasm around the joint if the infection is close to the joint.
Beware of subacute osteomyelitis, where there may be few constitutional signs.
Send to ED immediately if unwell and do not give antibiotics as it will negate cultures.
It may be reasonable to arrange some investigations if child not clearly unwell.
Refer parents to
Osteomyelitis in children (fact sheet).
If clinically suspected, send patient to ED.