Imaging of primary sternal osteomyelitis in a patient with Crohn's disease

Jabour Khoury; Jacqueline Jerushalmi; Igor Kats; Ahmed Mograbi; Haim Shtarker; Hector Isaac Cohen; Norman Loberant

doi:10.1016/s0899-7071(02)00593-4

Imaging of primary sternal osteomyelitis in a patient with Crohn's disease

Jabour Khoury, Jacqueline Jerushalmi, Igor Kats, Ahmed Mograbi, Haim Shtarker, Hector Isaac Cohen, Norman Loberant

Western Galilee Medical Center of Nahariya

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

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.

Original language	English
Pages (from-to)	358-362
Number of pages	5
Journal	Clinical Imaging
Volume	27
Issue number	5
DOIs	https://doi.org/10.1016/s0899-7071(02)00593-4
State	Published - 2003
Externally published	Yes

Keywords

Bone scintigraphy
CT
Ga-67 scintigraphy
Osteomyelitis
Sternum

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10.1016/s0899-7071(02)00593-4

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title = "Imaging of primary sternal osteomyelitis in a patient with Crohn's disease",

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.",

keywords = "Bone scintigraphy, CT, Ga-67 scintigraphy, Osteomyelitis, Sternum",

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AU - Khoury, Jabour

AU - Jerushalmi, Jacqueline

AU - Kats, Igor

AU - Mograbi, Ahmed

AU - Shtarker, Haim

AU - Cohen, Hector Isaac

AU - Loberant, Norman

PY - 2003

Y1 - 2003

N2 - 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.

AB - 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.

KW - Bone scintigraphy

KW - CT

KW - Ga-67 scintigraphy

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KW - Sternum

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Imaging of primary sternal osteomyelitis in a patient with Crohn's disease

Abstract

Keywords

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