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Extensive multifocal emphysematous osteomyelitis: fatal outcome in a patient with psychiatric history

Alessandra J Sax1, William B Morrison2, Jeffrey A Belair2

  • 1Department of Radiology, Thomas Jefferson University Hospital, 132 S. 10th Street, 10th Floor, Philadelphia, PA, 19107, USA. alessandra.sax@jefferson.edu.

Skeletal Radiology
|May 25, 2020
PubMed

Insights

Emphysematous osteomyelitis, a rare bone infection with intraosseous gas, can have severe outcomes. This case report details an exceptionally widespread, multifocal presentation in both the axial and appendicular skeleton of a young woman.

Area of Science:

  • Medical research
  • Pathology
  • Radiology

Background:

  • Emphysematous osteomyelitis is a rare and severe bone infection characterized by intraosseous gas.
  • It can lead to devastating consequences despite aggressive treatment.
  • Abscess formation is a potential complication.

Observation:

  • A case report details an extremely rare instance of emphysematous osteomyelitis.
  • The patient was a 20-year-old woman presenting with widespread infection.

Findings:

  • The emphysematous osteomyelitis extensively involved both the axial and appendicular skeleton.
  • This represents a multifocal presentation exceeding previously reported cases in scope.

Implications:

  • This case underscores the potential for extensive skeletal involvement in emphysematous osteomyelitis.
  • Further research into risk factors and management strategies for severe multifocal cases is warranted.
Keywords:
Emphysematous osteomyelitisIntraosseous airIntraosseous gasMultifocal infectionMunchausenOsteomyelitisSickle cell

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