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[Hematogenous osteomyelitis in children : A feared pediatric emergency]
Markus Uhl1,2, Markus Hufnagel3
1Sektion Kinderradiologie, Radiologische Klinik der Universitätskliniken Freiburg, Freiburg, Deutschland. markus.uhl@rkk-klinikum.de.
Insights
Prompt diagnosis of pediatric osteomyelitis is crucial. Contrast-enhanced MRI offers high sensitivity and specificity, making it the gold standard for rapid detection and timely treatment of this bone infection.
Area of Science:
- Pediatric infectious diseases
- Radiology
- Medical imaging
Clinical/Methodological Issue:
Hematogenously disseminated osteomyelitis in children and adolescents is an acute disease with a substantial threat to the health of a child or adolescent. Due to the destruction of bones or joints within hours to days and the risk of bacterial sepsis, it is a feared pediatric emergency that requires hospitalization in a children's hospital and rapid action.
Standard Radiological Methods:
The standard radiological procedures are X‑ray, sonography and magnetic resonance imaging (MRI).
Methodological Innovations/Performance:
Contrast-enhanced MRI has established itself as the gold standard for the detection of osteomyelitis.
Achievements:
It is characterized by a very high sensitivity and high specificity.
Practical Recommendations:
If there is a clinical suspicion of bacterial osteomyelitis, an MRI diagnosis must be carried out quickly.
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