Chronic osteomyelitis of ilium presenting as an expansile mutiloculated lytic lesion – A case report

Kiran, Kopuri Ravi; Rao, Yamin; Somnadham, V.; Babu, Tummala Venkata Suresh; Prasad, Nikhil K.

doi:10.1016/j.jcot.2011.10.002

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…Infection is commonly polymicrobial. Staphylococcus aureus is the most commonly observed organism, as also seen in our case [2].…”

Section: Discussionsupporting

confidence: 78%

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Chronic Pelvic Osteomyelitis: Case Report of a Rare Complication of Bone Marrow Biopsy

Bhat¹,

Anandram²,

Lobo³

et al. 2021

Cureus

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Osteomyelitis commonly involves the long bones, with pelvic involvement uncommon. We report the case of a 50-year-old male who, following a bone marrow biopsy that diagnosed him with non-Hodgkin's lymphoma, had persistent complaints of fever, swelling, and pain over the biopsy site. Pus cultures revealed growth of methicillin-resistant Staphylococcus aureus (MRSA), with computed tomography and magnetic resonance imaging of the pelvis revealing features of osteomyelitis of the right ilium. He was managed conservatively with antibiotics. On the last follow-up, he had just recovered from another flare of the infection. Bone marrow biopsy is a common tool in the hematologist's inventory. It is quite safe, with complications reported in less than 0.1% of all cases. Osteomyelitis of the pelvis following this is exceedingly rare; to our knowledge, only two prior such cases have been reported. Pelvic osteomyelitis is characterized by poorly defined hip pain, limited range of motion, and difficulty with ambulation. In case of intractable hip or buttock pain following a bone marrow biopsy, osteomyelitis of the pelvis must be considered in the differential diagnosis, and appropriate management must be begun. A multidisciplinary approach is required, with surgical debridement and appropriate antibiotics.

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“…Infection is commonly polymicrobial. Staphylococcus aureus is the most commonly observed organism, as also seen in our case [2].…”

Section: Discussionsupporting

confidence: 78%

“…Staphylococcus aureus is the most commonly identified organism in these infections. Osteomyelitis of the pelvis is uncommon, constituting 2-11% of all osteomyelitis cases [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Chronic Pelvic Osteomyelitis: Case Report of a Rare Complication of Bone Marrow Biopsy

Bhat¹,

Anandram²,

Lobo³

et al. 2021

Cureus

View full text Add to dashboard Cite

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“…Ando et al reported 3 cases of eosinophilic granuloma of the pelvis in children, and each presented different radiological features and clinical courses [ 4 ]. Another case was reported as a diagnostic dilemma, and one of the few documented cases of osteomyelitis presented a nonspecific radiological picture [ 5 ]. Because the imaging features vary widely and radiological images differ among cases of iliac bone destruction in children, it is difficult to obtain a correct diagnosis when relying only on clinical and imaging features [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

The Diagnosis of Iliac Bone Destruction in Children: 22 Cases from Two Centres

Sun

Lou

Wang

2016

BioMed Research International

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Iliac bone destruction in children is uncommon and presents various imaging features. Correct diagnosis based on clinical and imaging features is difficult. This research aimed to retrospectively explore the clinical features, imaging, and histopathological diagnosis of children with iliac bone destruction. A total of 22 children with iliac bone destruction were enrolled in this retrospective analysis from two children's hospitals during July 2007 to April 2015. Clinical features, imaging, and histopathological findings were analysed. The mode of iliac bone destruction, lesion structure, and the relationship between the range of soft tissue mass and cortical destruction were determined based on imaging data. The data were analysed using descriptive methods. Of the iliac bone destruction cases, eight cases were neuroblastoma iliac bone metastasis, seven cases were bone eosinophilic granuloma, two cases were Ewing's sarcoma, two cases were osteomyelitis, one case was bone cyst, one case was bone fibrous dysplasia, and one case was non-Hodgkin's lymphoma. Iliac bone destruction varies widely in children. Metastatic neuroblastoma and eosinophilic granuloma are the most commonly involved childhood tumours.

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Chronic osteomyelitis of ilium presenting as an expansile mutiloculated lytic lesion – A case report

Cited by 2 publications

References 14 publications

Chronic Pelvic Osteomyelitis: Case Report of a Rare Complication of Bone Marrow Biopsy

Chronic Pelvic Osteomyelitis: Case Report of a Rare Complication of Bone Marrow Biopsy

The Diagnosis of Iliac Bone Destruction in Children: 22 Cases from Two Centres

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