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Acute Osteomyelitis of Adult
Lauren M. Ladd, MDB. J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Imaging

    • Diagnostic Checklist

      IMAGING

      • General Features

        • Radiographic Findings

          • CT Findings

            • MR Findings

              • Nuclear Medicine Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Natural History & Prognosis

                          DIAGNOSTIC CHECKLIST

                          • Consider

                            Selected References

                            1. Alaia EF et al: MRI nomenclature for musculoskeletal infection. Skeletal Radiol. 50(12):2319-47, 2021
                            2. Fattore J et al: Revisiting the important role of magnetic resonance imaging (MRI) in long bone acute osteomyelitis: a case report of methicillin resistant Staphylococcus aureus acute tibial osteomyelitis with conventional radiography, computed tomography, and MRI. Radiol Case Rep. 15(10):2003-8, 2020
                            3. Connolly CM et al: Nuclear medicine imaging of infection. Semin Roentgenol. 52(2):114-9, 2017
                            4. Prieto-Pérez L et al: Osteomyelitis: a descriptive study. Clin Orthop Surg. 6(1):20-5, 2014
                            5. Prodinger PM et al: Acute osteomyelitis of the humerus mimicking malignancy: Streptococcus pneumoniae as exceptional pathogen in an immunocompetent adult. BMC Infect Dis. 13:266, 2013
                            6. Donovan A et al: Use of MR imaging in diagnosing diabetes-related pedal osteomyelitis. Radiographics. 30(3):723-36, 2010
                            7. van der Bruggen W et al: PET and SPECT in osteomyelitis and prosthetic bone and joint infections: a systematic review. Semin Nucl Med. 40(1):3-15, 2010
                            8. Johnson PW et al: Diagnostic utility of T1-weighted MRI characteristics in evaluation of osteomyelitis of the foot. AJR Am J Roentgenol. 192(1):96-100, 2009
                            9. Khanna G et al: Imaging of chronic recurrent multifocal osteomyelitis. Radiographics. 29(4):1159-77, 2009
                            10. Sella EJ: Current concepts review: diagnostic imaging of the diabetic foot. Foot Ankle Int. 30(6):568-76, 2009
                            11. Donovan A et al: Current concepts in imaging diabetic pedal osteomyelitis. Radiol Clin North Am. 46(6):1105-24, vii, 2008
                            12. Fayad LM et al: Musculoskeletal infection: role of CT in the emergency department. Radiographics. 27(6):1723-36, 2007
                            13. Ahmadi ME et al: Neuropathic arthropathy of the foot with and without superimposed osteomyelitis: MR imaging characteristics. Radiology. 238(2):622-31, 2006
                            14. Palestro CJ et al: Combined labeled leukocyte and technetium 99m sulfur colloid bone marrow imaging for diagnosing musculoskeletal infection. Radiographics. 26(3):859-70, 2006
                            15. Collins MS et al: T1-weighted MRI characteristics of pedal osteomyelitis. AJR Am J Roentgenol. 185(2):386-93, 2005
                            16. Termaat MF et al: The accuracy of diagnostic imaging for the assessment of chronic osteomyelitis: a systematic review and meta-analysis. J Bone Joint Surg Am. 87(11):2464-71, 2005
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Imaging

                              • Diagnostic Checklist

                                IMAGING

                                • General Features

                                  • Radiographic Findings

                                    • CT Findings

                                      • MR Findings

                                        • Nuclear Medicine Findings

                                          • Imaging Recommendations

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Natural History & Prognosis

                                                    DIAGNOSTIC CHECKLIST

                                                    • Consider

                                                      Selected References

                                                      1. Alaia EF et al: MRI nomenclature for musculoskeletal infection. Skeletal Radiol. 50(12):2319-47, 2021
                                                      2. Fattore J et al: Revisiting the important role of magnetic resonance imaging (MRI) in long bone acute osteomyelitis: a case report of methicillin resistant Staphylococcus aureus acute tibial osteomyelitis with conventional radiography, computed tomography, and MRI. Radiol Case Rep. 15(10):2003-8, 2020
                                                      3. Connolly CM et al: Nuclear medicine imaging of infection. Semin Roentgenol. 52(2):114-9, 2017
                                                      4. Prieto-Pérez L et al: Osteomyelitis: a descriptive study. Clin Orthop Surg. 6(1):20-5, 2014
                                                      5. Prodinger PM et al: Acute osteomyelitis of the humerus mimicking malignancy: Streptococcus pneumoniae as exceptional pathogen in an immunocompetent adult. BMC Infect Dis. 13:266, 2013
                                                      6. Donovan A et al: Use of MR imaging in diagnosing diabetes-related pedal osteomyelitis. Radiographics. 30(3):723-36, 2010
                                                      7. van der Bruggen W et al: PET and SPECT in osteomyelitis and prosthetic bone and joint infections: a systematic review. Semin Nucl Med. 40(1):3-15, 2010
                                                      8. Johnson PW et al: Diagnostic utility of T1-weighted MRI characteristics in evaluation of osteomyelitis of the foot. AJR Am J Roentgenol. 192(1):96-100, 2009
                                                      9. Khanna G et al: Imaging of chronic recurrent multifocal osteomyelitis. Radiographics. 29(4):1159-77, 2009
                                                      10. Sella EJ: Current concepts review: diagnostic imaging of the diabetic foot. Foot Ankle Int. 30(6):568-76, 2009
                                                      11. Donovan A et al: Current concepts in imaging diabetic pedal osteomyelitis. Radiol Clin North Am. 46(6):1105-24, vii, 2008
                                                      12. Fayad LM et al: Musculoskeletal infection: role of CT in the emergency department. Radiographics. 27(6):1723-36, 2007
                                                      13. Ahmadi ME et al: Neuropathic arthropathy of the foot with and without superimposed osteomyelitis: MR imaging characteristics. Radiology. 238(2):622-31, 2006
                                                      14. Palestro CJ et al: Combined labeled leukocyte and technetium 99m sulfur colloid bone marrow imaging for diagnosing musculoskeletal infection. Radiographics. 26(3):859-70, 2006
                                                      15. Collins MS et al: T1-weighted MRI characteristics of pedal osteomyelitis. AJR Am J Roentgenol. 185(2):386-93, 2005
                                                      16. Termaat MF et al: The accuracy of diagnostic imaging for the assessment of chronic osteomyelitis: a systematic review and meta-analysis. J Bone Joint Surg Am. 87(11):2464-71, 2005