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Osteomyelitis

The acute osteomyelitis is a disease of bone and bone marrow caused by pyogenic cocci. In some cases its development is the consequence of pathogens from an other infectious source – usually from a purulent-inflamed tooth, skin inflammation, otitis media - penetrating the bone via bloodstream and in 90% of the cases this pathogen is Staphylococcus aureus. In most cases the long and tubular bones (femoral bone, tibia, humeral bone, forearm bone) are affected. At other times after a local impact, after accidental open bone fracture or after bone surgery, the osteomyelitis can also develop.

Acute osteomyelitis mainly occurs in childhood, after the age of 16 it rarely develops. In adults it only occurs in exceptional cases, in older adults or when the immune system is suppressed or as a complication of a surgical intervention.

The extent and severity of the inflammation depends on the defensive system of the body. In case of patients with a strong immune system the process remains localized in the affected bone. Otherwise it travels to the bone surface and reaches surrounding soft tissues (muscles and tendons), or the pathogens can infect other organs via bloodstream.

In case of osteomyelitis the affected limb is painful, swollen, the skin above it is warmer and red. Pain is also present at rest and it is pulsating in nature. The neighboring joint can also be tender and swollen. Besides these, high temperature and fatigue can be observed.

With a 3-phase bone scintigraphy, combined with SPECT-CT, applying a radiopharmacon that easily binds to bones, the inflamed area can be easily localized.

 

DIAGNOSTIC PROCEDURES:

Bone scintigraphy SPECT-CT

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