Acute Hematogenous Osteomyelitis Presenting as a “Cold” Rib in a Child

نویسندگان

  • Michael J. Annen
  • Mickaila J. Johnston
  • Joe P. Gormley
  • Eugene Silverman
چکیده

A "cold" defect or an area of decreased radiotracer deposition is the less common appearance of acute hematogenous osteomyelitis (AHO) on a Tc99 m-methylene disphosphonate (Tc99 m-MDP) bone scan. Group A beta-hemolytic Streptococcus (GABHS) is a significantly less common cause of AHO than Staphylococcus aureus, particularly when the infection involves the pelvis or flat bones such as the ribs. Here, we present a case report of isolated acute "cold" hematogenous osteomyelitis in a rib of a child with GABHS bacteremia that was detected on 99Tc-MDP bone scan, with magnetic resonance imaging correlation, and pathologic confirmation after rib resection.

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عنوان ژورنال:

دوره 16  شماره 

صفحات  -

تاریخ انتشار 2017