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