Disseminated osteomyelitis after urinary tract infection in immunocompetent adult: A case report

Table 1 Cierny-Mader staging system

Anatomic type	Physiologic class
Stage 1: Medullary osteomyelitis	A Host: Normal host
Stage 2: Superficial osteomyelitis	B Host: Systemic compromise (Bs)
Stage 3: Localized osteomyelitis	Local compromise (Bl)
Stage 4: Diffuse osteomyelitis	Systemic and local compromise (Bls)
	C Host: Treatment worse than the disease
Systemic or local factors that affect immune surveillance, metabolism and local vascularity
Systemic (Bs)	Local (Bl)
Malnutrition	Chronic lymphedema
Renal, hepatic failure	Venous stasis
Diabetes mellitus	Major vessel compromise
Chronic hypoxia	Arteritis
Immune disease	Extensive scarring
Malignancy	Radiation fibrosis
Extremes of age	Small vessel disease
Immunosuppression or neuropathy	Complete loss of sensation
Immune deficiency	Tobacco abuse