Bacterial osteomyelitis: findings on plain radiography, CT, MR, and scintigraphy.

Gold, R H; Hawkins, Randall A.; Katz, R.

doi:10.2214/ajr.157.2.1853823

Cited by 203 publications

(79 citation statements)

References 2 publications

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“…The clinical findings are essential for detection of real bone involvement, since HIV-infected subjects without osteoarticular symptoms may have increased radionuclide uptake due to bone marrow hypercellularity of no clinical significance (Rubies-Prat et al 1996). In our series, CT and MRI of the spine were also useful for the definition of vertebral involvement and the detection of soft-tissue collection (Gold et al 1991, Torda et al 1995. CT-scan also had a role in monitoring the response to therapy (Magid andFishman 1992, Torda et al 1995).…”

Section: Discussionmentioning

confidence: 62%

Osteoarticular bacterial infections are rare in HIV-infected patients: 14 cases found among 4, 023 HIV-infected patients

Ventura

Gasparini²,

Lucia³

et al. 1997

Acta Orthopaedica Scandinavica

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Section: Discussionmentioning

confidence: 62%

Osteoarticular bacterial infections are rare in HIV-infected patients: 14 cases found among 4, 023 HIV-infected patients

Ventura

Gasparini²,

Lucia³

et al. 1997

Acta Orthopaedica Scandinavica

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“…3B). Cortical and cancellous bony destruction and extension of the infection into an adjacent joint can also be clearly delineated [10] (Fig. 4).…”

Section: Discussionmentioning

confidence: 98%

“…Conventional tomography is useful for detecting sequestra in long-standing osteomyelitis and occasionally demonstrates destruction of the subchondral bone plate, indicating the development of septic arthritis [10] (Fig. 3 A).…”

Section: Discussionmentioning

confidence: 99%

Osteomyelitis of the clavicle: clinical, radiologic, and bacteriologic findings in ten patients

Gerscovich

Greenspan

1994

Skeletal Radiol.

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Most lesions of the clavicle are traumatic and pose few diagnostic difficulties. Nontraumatic clavicular lesions, on the other hand, are rare and frequently present problems in diagnosis. This report reviews the clinical, radiologic, and bacteriologic findings in ten patients, six of whom were diagnosed as having acute osteomyelitis and four chronic osteomyelitis. The differential diagnosis of clavicular osteomyelitis is also discussed. The clinical duration of the infectious process in these patients ranged from 2 weeks to 1.5 years. All patients presented with pain; six had fever, three had localized swelling or a mass, and three had soft tissue abscesses. The radiographic findings also varied: the lesion was predominantly sclerotic in four patients, lytic in three, and mixed in two patients; in the one patient in whom magnetic resonance imaging was the only imaging study performed, these features could not be properly evaluated. Periosteal reaction was detected in three patients. Staphylococcus aureus was the causal organism in four patients, while in the remaining six patients different microorganisms were cultured, including Coccidiodes immitis and Mycobacterium tuberculosis. Six patients required biopsy for final diagnosis. Although clavicular osteomyelitis is rare, particularly in adults, it should be considered in the differential diagnosis of a clavicular lesion. The final diagnosis often depends on the results of biopsy and cultures.

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“…It takes a minimum of 3 weeks to detect bone changes by X-ray in cases of acute osteomyelitis. The acute form of osteomyelitis is associated with the 3 signs in X-ray imaging: soft tissue swelling, periosteal reaction, and bone destruction, which is represented as subperiosteal bone resorption and cortical erosions and in the course spread to the medullary cavity with lytic lesions (Barrington 1988;Davis 2005;Gold et al 1991). In cases of chronic osteomyelitis, the X-ray imaging reveals bone sclerosis, periosteal new bone formation, sequestra, and sinuses up to circumscribed lytic lesions named Brodie abscess.…”

Section: Clinical Manifestations and Diagnosismentioning

confidence: 99%

Staphylococcus aureus-Associated Musculoskeletal Infections

Idelevich

Kreis

Löffler

et al. 2016

Current Topics in Microbiology and Immunology

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Musculoskeletal infections caused by Staphylococcus aureus are among the most difficult-to-treat infections. S. aureus osteomyelitis is associated with a tremendous disease burden through potential for long-term relapses and functional deficits. Although considerable advances have been achieved in diagnosis and treatment of osteomyelitis, the management remains challenging and impact on quality of life is still enormous. S. aureus acute arthritis is relatively seldom in general population, but the incidence is considerably higher in patients with predisposing conditions, particularly those with rheumatoid arthritis. Rapidly destructive course with high mortality and disability rates makes urgent diagnosis and treatment of acute arthritis essential. S. aureus pyomyositis is a common disease in tropical countries, but it is very seldom in temperate regions. Nevertheless, the cases have been increasingly reported also in non-tropical countries, and the physicians should be able to timely recognize this uncommon condition and initiate appropriate treatment. The optimal management of S. aureus-associated musculoskeletal infections requires a strong interdisciplinary collaboration between all involved specialists.

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Bacterial osteomyelitis: findings on plain radiography, CT, MR, and scintigraphy.

Cited by 203 publications

References 2 publications

Osteoarticular bacterial infections are rare in HIV-infected patients: 14 cases found among 4, 023 HIV-infected patients

Osteoarticular bacterial infections are rare in HIV-infected patients: 14 cases found among 4, 023 HIV-infected patients

Osteomyelitis of the clavicle: clinical, radiologic, and bacteriologic findings in ten patients

Staphylococcus aureus-Associated Musculoskeletal Infections

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