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Orthopaedics · Bone infection: Garre osteomyelitis
Sample itemA child has a swollen painful mandible or tibia with thick sclerotic new bone and no pus, no sequestrum. Which condition is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Garre sclerosing osteomyelitis
Garre osteomyelitis is a non-suppurative chronic sclerosing osteomyelitis with periosteal new bone formation, giving a thickened bone without pus or sequestrum. It results from low-grade infection with a strong host response and responds to antibiotics.
Option by option
A. Acute haematogenous osteomyelitis
Acute osteomyelitis presents with fever, pain and pus formation.
B. Brodie abscess
Brodie abscess has a lucent cavity.
C. Osteosarcoma
Osteosarcoma has a destructive pattern with a soft tissue mass.
D. Garre sclerosing osteomyelitis (correct)
Correct. Diffuse sclerosis without pus or sequestrum defines Garre osteomyelitis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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