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Imaging of primary sternal osteomyelitis in a patient with Crohn's disease
Jabour Khoury1, Jacqueline Jerushalmi, Igor Kats
1Department of Nuclear Medicine, Western Galilee Hospital, P.O. Box 21, Nahariya 22100, Israel. jjkhoury@netvision.net.il
Abstract:
A 41-year-old man with known Crohn's disease presented with chest pain and fever. Plain film and CT of the chest were normal, but bone scan and gallium scans showed intense sternal uptake. Surgery revealed staphylococcal osteomyelitis of the sternum. Following appropriate antibiotic treatment, the patient's symptoms resolved and follow-up gallium scans became normal. This is the first report of the association of sternal osteomyelitis and Crohn's disease, although other sites have been described. Sternal osteomyelitis has a high morbidity and the index of suspicion for this condition must be high even in the face of initially negative imaging.
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