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Acute epiphyseal osteomyelitis in children

Conference · · Radiology; (United States)
OSTI ID:5680468

Nine children over 20 months of age had acute osteomyelitis of the epiphysis of a long bone. The clinical features varied, but all of the patients had pain at the infected site and an elevated erythrocyte sedimentation rate. The distal femur was involved in seven cases, the proximal tibian in two, and the proximal humerus in one. In two patients there was a contiguous metaphyseal lesion, while the other seven patients (eight sites) had lesions limited to the epiphysis. Bone scintigraphy clearly identified the infected sites in all seven patients in whom it was performed, and allowed an early diagnosis in four cases. Radiographs showed a lytic lesion of the epiphysis that corresponded to the scintigraphic findings in all cases. The epiphysis of the child should be recognized as another site of hematogenous osteomyelitis.

Research Organization:
Univ. of Washington Medical School, Seattle
OSTI ID:
5680468
Report Number(s):
CONF-851152-
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 156:1; ISSN RADLA
Country of Publication:
United States
Language:
English