First of all,if the osteomyelitis is chronic in nature,then it presents with subtle symptoms and so diagnosis can be delayed. Chronic osteomyelitis may cause flare-ups of symptoms, such as pain and fever, many years after the initial infection.This is seen only when specific diagnostic tests are done.
Secondly, some times infections or inflammations of any of the organs of the body can cause osteomyelitis by infections spreading to bones and as the primary mode of treatment will be for the basic pathology,so osteomyelitis can be missed.Wiley interscience mentions one such case of prostatitis which caused destructive osteomyelitis and was diagnosed after thorough investigations due to subtleness and less aggressiveness of its symptoms.
Osteomyelitis can also be missed as a diagnosis if initial tests are done without confirmatory tests like CT/MRI or bone biopsy.
Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional queries.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.