What Is the Best Method to Differentiate Acute Charcot Foot From Acute Infection?
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 31322932.
- Also identified by DOI 10.1177/1071100719859892.
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Abstract
Differentiation between acute Charcot neuroarthropathy (CN) and acute infection/osteomyelitis is complex and requires multiple (>1) diagnostic criteria. These criteria include an emphasis on the presence of neuropathy, history, and physical examination. The absence of skin wounds and resolution of swelling/erythema with elevation makes the likelihood of infection very low. In unclear cases, laboratory testing, histologic examination and culturing of bone specimens, scintigraphy, and imaging, especially magnetic resonance imaging (MRI), may be of benefit. Moderate. Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
Medical subject headings
- Arthropathy, Neurogenic
- Foot
- Osteomyelitis
Anatomy
- foot