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Title: | Additional information on the role of histopathology in diagnosing diabetic foot osteomyelitis | Authors: | Aragón-Sánchez, J. Lázaro-Martínez, J. L. Cabrera-Galván, J. J. |
UNESCO Clasification: | 32 Ciencias médicas 320714 Osteopatología |
Keywords: | Osteomyelitis Diabetic foot |
Issue Date: | 2014 | Journal: | Diabetic Medicine | Abstract: | Bone biopsy with both microbiological and histopathological purposes has been established as a high-quality criterion for diagnosing osteomyelitis in the feet of patients with diabetes [1]. However, some controversies have been reported, making the interpretation of the results difficult. A group of authors reported that 29.1% of patients with positive cultures of bone specimens had no histopathological findings of osteomyelitis in one series of patients with diabetes undergoing surgery for foot infections. They also reported that 25% of patients with positive histology had negative cultures [2]. Other authors had also reported such controversies [3], even when advanced imaging was performed as a diagnostic tool [4]. Furthermore, the agreement between pathologists diagnosing osteomyelitis in the feet of patients with diabetes could be below the level of 'reference standard' [5]. Finally, little information exists about histopathology in cases of Charcot neuroarthropathy, and it is well known that the clinical and radiological differentiation between Charcot neuroarthropathy and osteomyelitis is sometimes difficult. | URI: | http://hdl.handle.net/10553/48701 | ISSN: | 0742-3071 | DOI: | 10.1111/dme.12283 | Source: | Diabetic Medicine[ISSN 0742-3071],v. 31, p. 113-116 (Enero 2014) |
Appears in Collections: | Comentario |
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