Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis
We share the case of a 86-year-old male patient, followed up for recent left hip pain. Interrogation revealed a fever, nocturnal shivering, and bone pains. Standard radiographs and computed tomography centered on both shoulders and pelvis showed osteoarthritis of the left hip and multiple lytic lesi...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-04-01
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| Series: | World Journal of Nuclear Medicine |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_20_20 |
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| author | Salah Nabih Omar Sahel Yassir Benameur Abderrahim Doudouh |
| author_facet | Salah Nabih Omar Sahel Yassir Benameur Abderrahim Doudouh |
| author_sort | Salah Nabih |
| collection | DOAJ |
| description | We share the case of a 86-year-old male patient, followed up for recent left hip pain. Interrogation revealed a fever, nocturnal shivering, and bone pains. Standard radiographs and computed tomography centered on both shoulders and pelvis showed osteoarthritis of the left hip and multiple lytic lesions in both humeral heads and clavicles, suggestive of chronic infectious, metabolic, or secondary disease. Bone scan with radiobiphosphonates showed intense and diffuse uptake in the clavicles, the two humeral heads, and at the cervical and dorsal spine. Biopsy of the left humeral head confirmed the diagnosis of tuberculous osteomyelitis, showing an aspect of caseo-follicular tuberculosis. Bone scan with radiobiphosphonates can be used in our context to search other localizations falling within the framework of a polystotic form, and also to guide nonrisk biopsy in such group of patients. |
| format | Article |
| id | doaj-art-0e051e7100fd43e387337d633a8036bf |
| institution | OA Journals |
| issn | 1450-1147 1607-3312 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | World Journal of Nuclear Medicine |
| spelling | doaj-art-0e051e7100fd43e387337d633a8036bf2025-08-20T01:59:27ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122020-04-01190218418610.4103/wjnm.WJNM_20_20Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitisSalah Nabih0Omar Sahel1Yassir Benameur2Abderrahim Doudouh3Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, MoroccoDepartment of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, MoroccoDepartment of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, MoroccoDepartment of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, MoroccoWe share the case of a 86-year-old male patient, followed up for recent left hip pain. Interrogation revealed a fever, nocturnal shivering, and bone pains. Standard radiographs and computed tomography centered on both shoulders and pelvis showed osteoarthritis of the left hip and multiple lytic lesions in both humeral heads and clavicles, suggestive of chronic infectious, metabolic, or secondary disease. Bone scan with radiobiphosphonates showed intense and diffuse uptake in the clavicles, the two humeral heads, and at the cervical and dorsal spine. Biopsy of the left humeral head confirmed the diagnosis of tuberculous osteomyelitis, showing an aspect of caseo-follicular tuberculosis. Bone scan with radiobiphosphonates can be used in our context to search other localizations falling within the framework of a polystotic form, and also to guide nonrisk biopsy in such group of patients.http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_20_20bone scanmultifocal osteomyelitistuberculous osteomyelitis |
| spellingShingle | Salah Nabih Omar Sahel Yassir Benameur Abderrahim Doudouh Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis World Journal of Nuclear Medicine bone scan multifocal osteomyelitis tuberculous osteomyelitis |
| title | Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis |
| title_full | Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis |
| title_fullStr | Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis |
| title_full_unstemmed | Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis |
| title_short | Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis |
| title_sort | contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis |
| topic | bone scan multifocal osteomyelitis tuberculous osteomyelitis |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_20_20 |
| work_keys_str_mv | AT salahnabih contributionofradiobiphosphonatesbonescaninmultifocaltuberculousosteomyelitis AT omarsahel contributionofradiobiphosphonatesbonescaninmultifocaltuberculousosteomyelitis AT yassirbenameur contributionofradiobiphosphonatesbonescaninmultifocaltuberculousosteomyelitis AT abderrahimdoudouh contributionofradiobiphosphonatesbonescaninmultifocaltuberculousosteomyelitis |