When is CRMO NOT CRMO?
نویسندگان
چکیده
A 3 year old girl presented with a limp and a hot, swollen ankle. X-Ray showed active osteomyelitis. ESR > 60 mm/ hr, Hb 11.3 g/dl, WCC 7.9 × 109/L, Platelets 808 × 109/L. Intravenous antibiotics were commenced. One week later, the left ankle became swollen, X-Ray showed osteomyelitis. Bone scan showed several areas of increased uptake, right femoral neck, both knees, both ankles, and scapula. A presumptive diagnosis of chronic recurrent multifocal osteomyelitis was made. Management was with intravenous followed by oral antibiotics. Upon rheumatology review 4 months later, she had clinically improved, nonsteroidal anti-inflammatory agents were advised, it was felt a bone biopsy was not indicated.
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