Open AccessAcute hematogenous osteomyelitis presenting as a “Cold” rib in a child
Author(s) -
Michael J Annen,
Mickaila Johnston,
Joe P Gormley,
Eugene D. Silverman
Publication year - 2017
Publication title -
world journal of nuclear medicine
Language(s) - English
Resource type - Journals
eISSN - 1607-3312
pISSN - 1450-1147
DOI - 10.4103/1450-1147.203067
Subject(s) - medicine , osteomyelitis , rib cage , staphylococcus aureus , pelvis , magnetic resonance imaging , nuclear medicine , radiology , surgery , anatomy , bacteria , genetics , biology
A "cold" defect or an area of decreased radiotracer deposition is the less common appearance of acute hematogenous osteomyelitis (AHO) on a Tc99 m-methylene disphosphonate (Tc99 m-MDP) bone scan. Group A beta-hemolytic Streptococcus (GABHS) is a significantly less common cause of AHO than Staphylococcus aureus , particularly when the infection involves the pelvis or flat bones such as the ribs. Here, we present a case report of isolated acute "cold" hematogenous osteomyelitis in a rib of a child with GABHS bacteremia that was detected on 99Tc-MDP bone scan, with magnetic resonance imaging correlation, and pathologic confirmation after rib resection.