Abstract
Magnetic resonance imaging (MRI) plays an important role in the diagnosis of osteomyelitis, especially during the early phase of the disease. The findings of sequential MRIs during the course of treatment in acute osteomyelitis in children have not yet been reported in the literature. We present a case of acute epiphyseal osteomyelitis in the distal femur of an infant. We monitored imaging changes by sequential MRIs and radiographs. MRI was more useful than radiograph for early diagnosis and evaluation of therapeutic response.
Highlights
Acute hematogenous osteomyelitis in young children occurs mostly in the metaphysis or the diaphysis of a long bone
Diagnosis and appropriate treatment are important for acute epiphyseal osteomyelitis, because delays can allow the condition to spread from the epiphysis into the metaphysis or the knee joint [2, 4]
We could find only 9 cases of acute epiphyseal osteomyelitis in children that have been reported in English literature
Summary
Acute hematogenous osteomyelitis in young children occurs mostly in the metaphysis or the diaphysis of a long bone. Diagnosis and appropriate treatment are important for acute epiphyseal osteomyelitis, because delays can allow the condition to spread from the epiphysis into the metaphysis or the knee joint [2, 4]. The findings of sequential MRIs during the course of treatment in acute osteomyelitis in children have not yet been reported in the literature.
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