Acute Osteomyelitis Shown as a Cold Lesion on Bone Scan.
- Author:
Suk Mo LEE
;
Sang Gyun BAE
;
Myung Rae JO
- Publication Type:Original Article
- Keywords:
Acute osteomyelitis;
3-phase bone scintigraphy;
Tc-99m MDP
- MeSH:
Abscess;
Femur;
Humans;
Male;
Osteomyelitis*;
Radioactivity;
Radionuclide Imaging;
Staphylococcus aureus;
Technetium Tc 99m Medronate;
Thigh
- From:Korean Journal of Nuclear Medicine
2000;34(6):516-520
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute osteomyelitis is usually shown as a localized area of increased activity (hot uptake) in the infectious focus on bone scintigraphy. In our patient, absence of radioactivity (cold lesion) was noted in the distal metaphyseal and diaphyseal regions of his right femur. Initial x-ray was interpreted as normal except for mild soft tissue swelling in the right thigh. The lesion was confirmed as an acute osteomyelitis with subperiosteal abscess on surgery. Staphylococcus aureus was the etiologic organism. We describe a case of acute osteomyelitis in a one-year-old boy shown as a cold lesion on bone scan.