Emphysematous osteomyelitis
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- updated 14 Dec 2022:
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Emphysematous osteomyelitis is an extremely rare form of osteomyelitis which is complicated by infection with gas-forming organisms. Only a handful of cases are published in the literature.
Pathology
Commonly reported organisms include 1
- Fusobacterium necrophorum
- Escherichia coli 4
- Bacteroides spp.
- Klebsiella pneumoniae
Location
The vertebrae may be involved in ~40% of cases 1
Radiographic features
It is characterised by the presence of intraosseous gas (pumice stone sign) accompanied by other signs of bony and soft tissue infection.
History and etymology
It was initially described by P C Ram and colleagues in 1981 2.
See also
-<p><strong>Emphysematous osteomyelitis</strong> is an extremely rare form of <a href="/articles/osteomyelitis">osteomyelitis</a> which is complicated by infection with gas-forming organisms. Only a handful of cases are published in the literature.</p><h4>Pathology</h4><p>Commonly reported organisms include <sup>1</sup></p><ul>-<li><em>Fusobacterium necrophorum </em></li>-<li><em>Escherichia coli <sup>4</sup></em></li>-<li>-<em>Bacteroides </em>spp.</li>-<li><em>Klebsiella pneumoniae</em></li>- +<p><strong>Emphysematous osteomyelitis</strong> is an extremely rare form of <a href="/articles/osteomyelitis">osteomyelitis</a> which is complicated by infection with gas-forming organisms. Only a handful of cases are published in the literature.</p><h4>Pathology</h4><p>Commonly reported organisms include <sup>1</sup></p><ul>
- +<li><em>Fusobacterium necrophorum </em></li>
- +<li><em>Escherichia coli <sup>4</sup></em></li>
- +<li>
- +<em>Bacteroides </em>spp.</li>
- +<li><em>Klebsiella pneumoniae</em></li>
Images Changes:
Image 2 CT (bone window) ( create )
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Case 2
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2.
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