AI Article Synopsis
- The tibia is an uncommon site for osteomyelitis (OM) in adults, and treatment often requires long-term antibiotics due to significant complications.
- Early diagnosis is tough, heavily relying on imaging techniques that may not be very sensitive.
- A case study of a 49-year-old man with methicillin-resistant tibial OM shows that MRI is more effective than conventional radiography and CT for detecting early stages of the infection.
Article Abstract
The tibia is an atypical site of osteomyelitis (OM) in adults, and patients with this infection experience a significant degree of morbidity as well as the need for prolonged aggressive antibiotic therapy. The early diagnosis of OM remains challenging, and often relies on imaging modalities which are of variable sensitivity. We present a case of a 49-year-old male with a methicillin resistant (MRSa) left tibial OM, contiguous left knee septic arthritis, and concurrent bacteraemia. Eight days after the onset of pain in the left knee and lower limb, conventional radiography and computed tomography (CT) imaging had only subtleties of a soft tissue collection and a knee effusion. A MRI demonstrated significant involvement of his tibial bone with a collection, from which surgical specimens confirmed MRSa. This case demonstrates the difficulty of diagnosing early acute OM with conventional radiography and CT imaging, even after a week of symptoms in the affected limb. Given the poor sensitivity of conventional radiography and CT in the diagnosis of early acute OM, this case report illustrates how MRI is the imaging modality of choice in this setting.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443062 | PMC |
| http://dx.doi.org/10.1016/j.radcr.2020.07.079 | DOI Listing |
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