Acute Osteomyelitis Shown as a Cold Lesion on Bone Scan

골스캔에서 냉소로 보인 급성골수염

  • Lee, Seok-Mo (Department of Nuclear Medicine, Kosin University Medical College) ;
  • Bae, Sang-Kyun (Department of Nuclear Medicine, Kosin University Medical College) ;
  • Cho, Myung-Rae (Department of Orthopaedic Surgery, Kosin University Medical College)
  • 이석모 (고신대학교 의학부 핵의학교실) ;
  • 배상균 (고신대학교 의학부 핵의학교실) ;
  • 조명래 (고신대학교 의학부 정형외과학교실)
  • Published : 2000.12.30

Abstract

Acute osteomyelitis is usually shown as a localized area of increased activity (hot uptake) in the infectious focus on bone scintigraphy. In our patient, absence of radioactivity (cold lesion) was noted in the distal metaphyseal and diaphyseal regions of his right femur. Initial x-ray was interpreted as normal except for mild soft tissue swelling in the right thigh. The lesion was confirmed as an acute osteomyelitis with subperiosteal abscess on surgery. Staphylococcus aureus was the etiologic organism. We describe a case of acute osteomyelitis in a one-year-old boy shown as a cold lesion on bone scan.

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