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

Research output: Contribution to journalArticlepeer-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 languageEnglish
Pages (from-to)358-362
Number of pages5
JournalClinical Imaging
Volume27
Issue number5
DOIs
StatePublished - 2003
Externally publishedYes

Keywords

  • Bone scintigraphy
  • CT
  • Ga-67 scintigraphy
  • Osteomyelitis
  • Sternum

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