Case Report

Volume: 5 | Issue: 9 | Published: Sep 15, 2021 | Pages: 279 - 282 | DOI: 10.24911/ejmcr/173-1627883787

Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report


Authors: Farkhanda Gillani , Muhammad Babar Imran , Owais Qadeer Gill , Muhammad Shahzad Afzal


Article Info

Authors

Farkhanda Gillani

Nuclear Medicine Department, PINUM, Cancer Hospital, Faisalabad, Pakistan

Muhammad Babar Imran

Director PINUM Cancer Hospital, Faisalabad, Pakistan

Owais Qadeer Gill

Consultant Radiologist, PINUM Cancer Hospital, Faisalabad, Pakistan

Muhammad Shahzad Afzal

Head of Nuclear Medicine Department, PINUM Cancer Hospital, Faisalabad, Pakistan.

Publication History

Received: August 02, 2021

Revised: August 24, 2021

Accepted: August 24, 2021

Published: September 15, 2021


Abstract


Background: Emphysematous osteomyelitis is a rare but fatal condition, caused by gas-forming bacteria. We reported a rare case of emphysematous osteomyelitis of left femur in a 27-year-old diabetic male, diagnosed on Tc99m methylene diphosphonate (MDP) single photon emission computed tomography-computed tomography (SPECT-CT) scintigraphy. The pattern of uptake in emphysematous osteomyelitis on Tc99m MDP SPECT-CT scintigraphy was not reported previously. Case Presentation: A 27-year-old diabetic male patient presented with history of pain in left thigh and fever for 10 days. He was referred to nuclear medicine department for Tc99m MDP bone scan. He had no history of trauma or surgery, and his radiograph of left femur was unremarkable at presentation. Tc99m MDP SPECT-CT scintigraphy showed abnormal uptake in femur with intraosseous air, pathognomic of emphysematous osteomyelitis. Further imaging by magnetic resonant imaging (MRI) showed edematous changes in the musculature of left thigh with marrow replacement changes in left femur favoring the diagnosis of emphysematous osteomyelitis. However, no bacterial growth was detected on blood culture due to prior administration of intravenous antibiotics. Conclusion: Tc99m MDP SPECT-CT scintigraphy is helpful in diagnosis of such rare conditions like emphysematous osteomyelitis, in addition to common pathologies of bone. Furthermore, this report is helpful for nuclear physicians to know about the pattern of uptake on planner bone scan and SPECT-CT images in such a rare infection of bone, by gas forming bacteria.

Keywords: Key words: Emphysematous osteomyelitis, Tc99m MDP bone scan, SPECT-CT Scintigraphy, case report, green


Pubmed Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal. Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report. EJMCR. 2021; 15 (September 2021): 279-282. doi:10.24911/ejmcr/173-1627883787

Web Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal. Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report. https://ejmcr.com/articles/1125 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1627883787

AMA (American Medical Association) Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal. Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report. EJMCR. 2021; 15 (September 2021): 279-282. doi:10.24911/ejmcr/173-1627883787

Vancouver/ICMJE Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal. Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report. EJMCR. (2021), [cited December 25, 2024]; 15 (September 2021): 279-282. doi:10.24911/ejmcr/173-1627883787

Harvard Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal (2021) Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report. EJMCR, 15 (September 2021): 279-282. doi:10.24911/ejmcr/173-1627883787

Chicago Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal. "Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report." 15 (2021), 279-282. doi:10.24911/ejmcr/173-1627883787

MLA (The Modern Language Association) Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal. "Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report." 15.September 2021 (2021), 279-282. Print. doi:10.24911/ejmcr/173-1627883787

APA (American Psychological Association) Style

Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal (2021) Emphysematous osteomyelitis diagnosed on Tc99m MDP SPECTCT scintigraphy: a case report. , 15 (September 2021), 279-282. doi:10.24911/ejmcr/173-1627883787