All are true about chronic osteomyelitis except –
**Core Concept**
Chronic osteomyelitis is a long-standing infection of the bone, often resulting from a previous episode of acute osteomyelitis. It is characterized by a persistent inflammatory response, bone destruction, and the formation of sequestra (dead bone fragments). The infection is typically caused by bacteria such as Staphylococcus aureus.
**Why the Correct Answer is Right**
Chronic osteomyelitis is a complex condition that involves the destruction of bone tissue and the formation of sequestra. The infection is often caused by bacteria that have a slow growth rate, such as Staphylococcus aureus, which can lead to a prolonged inflammatory response. The body's immune response to the infection can cause the formation of granulation tissue, which can lead to the destruction of surrounding bone tissue.
**Why Each Wrong Option is Incorrect**
**Option A:** Chronic osteomyelitis is often associated with a prolonged inflammatory response, which can lead to the destruction of surrounding bone tissue. This option is incorrect because it does not specify that the infection is long-standing.
**Option B:** Sequestra are fragments of dead bone that form as a result of the infection. This option is incorrect because it does not mention that the infection is chronic.
**Option C:** Staphylococcus aureus is a common cause of chronic osteomyelitis. This option is incorrect because it does not mention that the infection is long-standing.
**Clinical Pearl / High-Yield Fact**
A key feature of chronic osteomyelitis is the formation of sequestra, which can be seen on X-rays as areas of dead bone. The presence of sequestra is a strong indicator of chronic osteomyelitis.
**Correct Answer:** A