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Bone Scintigraphic Findings in MRSA Osteomyelitis
Patricia Cornejo1, Gerald A Mandell
1From the Phoenix Childrens Hospital, Phoenix, AZ.
Clinical Nuclear Medicine
|November 17, 2015
Summary
Methicillin-resistant Staphylococcus aureus osteomyelitis presents with extensive bone and extraosseous involvement. Bone scans effectively detect these widespread infections, correlating with MRI findings.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) osteomyelitis is a severe bone infection.
- It often involves multiple bone segments and can lead to extraosseous complications.
Observation:
- This study examined 5 patients with MRSA osteomyelitis.
- Clinical symptoms included limp and pain.
- Joint involvement was observed in 4 cases.
Findings:
- Bone scans revealed multifocal or long-segment bone involvement in 4 patients.
- Abnormal uptake patterns (increased and decreased) were noted on bone scans.
- Bone scan findings correlated well with MRI, showing extensive bone disease and soft tissue involvement.
Implications:
- Bone scintigraphy is a valuable tool for assessing the extent of MRSA osteomyelitis.
- Accurate imaging is crucial for managing complex cases with potential for severe complications.
- Early detection and comprehensive imaging aid in treatment planning for MRSA bone infections.
