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At CT, features of bacterial osteomyelitis include overlying soft-tissue swelling, [[periosteal reaction]], medullary low-attenuation areas or trabecular coarsening, and focal cortical erosions.
At CT, features of bacterial osteomyelitis include overlying soft-tissue swelling, [[periosteal reaction]], medullary low-attenuation areas or trabecular coarsening, and focal cortical erosions.
===MRI===
MR imaging is the accepted modality of choice for the early detection and surgical localization of osteomyelitis.


==Presentation on Osteomyelitis==
==Presentation on Osteomyelitis==

Revision as of 14:21, 20 December 2012

Osteomyelitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Osteomyelitis from Other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications, and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Osteomyelitis is an infection of bone or bone marrow, usually caused by pyogenic bacteria or mycobacteria. It can be usefully subclassifed on the basis of the causative organism, the route, duration and anatomic location of the infection.[1]

Diagnosis

X Ray

Diagnosis of osteomyelitis is often based on radiologic results showing a lytic center with a ring of sclerosis, though bone cultures are normally required to identify the specific pathogen. Conventional radiographic evaluation of acute osteomyelitis is insufficient because bone changes are not evident for 14–21 days after the onset of infection.

CT

Although MR imaging is the accepted modality of choice for the early detection and surgical localization of osteomyelitis, in the emergency department, CT is usually more readily available for establishing the diagnosis. [2]

At CT, features of bacterial osteomyelitis include overlying soft-tissue swelling, periosteal reaction, medullary low-attenuation areas or trabecular coarsening, and focal cortical erosions.

MRI

MR imaging is the accepted modality of choice for the early detection and surgical localization of osteomyelitis.

Presentation on Osteomyelitis

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References

  1. Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson; & Mitchell, Richard N. (2007). Robbins Basic Pathology (8th ed.). Saunders Elsevier. pp. 810-811 ISBN 978-1-4160-2973-1
  2. Laura M. Fayad, John A. Carrino, and Elliot K. Fishman. Musculoskeletal Infection: Role of CT in the Emergency Department. RadioGraphics 2007 27: 1723-1736.

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