Sonographic and color doppler sonographic diagnosis of acute osteomyelitis: Report of one case

Hsun Chin Chao, Man Shan Kong, Tzo Yien Lin, Cheng Hsun Chiu, Chao Ran Wang, Zhon Liau Lee

研究成果: 雜誌貢獻文章

2 引文 (Scopus)

摘要

Acute osteomyelitis in childhood is uncommon. Early diagnosis is often difficult. We present a 7-year-old boy with clinical manifestation of fever and progressive left thigh swelling for one week. Sonography of the left thigh showed periosteal thickening with subperiosteal abscess around the metaphysis of the left distal femur. Tc-99m bone scintigraphy showed increased uptakes at the left distal femur. Osteomyelitis was suspected from the examination of ultrasound and bone scan examinations. His symptoms were not relieved following systemic antibiotic therapy and a follow-up color Doppler sonography showed vascular flows within and around the periosteum indicating active inflammation. He finally received surgical drainage and the operative findings confirmed the diagnosis of osteomyelitis. In conclusion, ultrasound may be a helpful and convenient tool for establishing the early diagnosis of pediatric osteomyelitis. Ultrasound and color Doppler sonography can be used as clinical parameters to evaluate the disease severity and the progression of osteomyelitis in children.
原文英語
頁(從 - 到)268-270
頁數3
期刊Acta Paediatrica Taiwanica
40
發行號4
出版狀態已發佈 - 七月 1999
對外發佈Yes

指紋

Osteomyelitis
Color
Doppler Color Ultrasonography
Thigh
Femur
Early Diagnosis
Bone and Bones
Periosteum
Radionuclide Imaging
Abscess
Blood Vessels
Disease Progression
Drainage
Ultrasonography
Fever
Pediatrics
Anti-Bacterial Agents
Inflammation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

引用此文

Chao, H. C., Kong, M. S., Lin, T. Y., Chiu, C. H., Wang, C. R., & Lee, Z. L. (1999). Sonographic and color doppler sonographic diagnosis of acute osteomyelitis: Report of one case. Acta Paediatrica Taiwanica, 40(4), 268-270.

Sonographic and color doppler sonographic diagnosis of acute osteomyelitis : Report of one case. / Chao, Hsun Chin; Kong, Man Shan; Lin, Tzo Yien; Chiu, Cheng Hsun; Wang, Chao Ran; Lee, Zhon Liau.

於: Acta Paediatrica Taiwanica, 卷 40, 編號 4, 07.1999, p. 268-270.

研究成果: 雜誌貢獻文章

Chao, HC, Kong, MS, Lin, TY, Chiu, CH, Wang, CR & Lee, ZL 1999, 'Sonographic and color doppler sonographic diagnosis of acute osteomyelitis: Report of one case', Acta Paediatrica Taiwanica, 卷 40, 編號 4, 頁 268-270.
Chao, Hsun Chin ; Kong, Man Shan ; Lin, Tzo Yien ; Chiu, Cheng Hsun ; Wang, Chao Ran ; Lee, Zhon Liau. / Sonographic and color doppler sonographic diagnosis of acute osteomyelitis : Report of one case. 於: Acta Paediatrica Taiwanica. 1999 ; 卷 40, 編號 4. 頁 268-270.
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abstract = "Acute osteomyelitis in childhood is uncommon. Early diagnosis is often difficult. We present a 7-year-old boy with clinical manifestation of fever and progressive left thigh swelling for one week. Sonography of the left thigh showed periosteal thickening with subperiosteal abscess around the metaphysis of the left distal femur. Tc-99m bone scintigraphy showed increased uptakes at the left distal femur. Osteomyelitis was suspected from the examination of ultrasound and bone scan examinations. His symptoms were not relieved following systemic antibiotic therapy and a follow-up color Doppler sonography showed vascular flows within and around the periosteum indicating active inflammation. He finally received surgical drainage and the operative findings confirmed the diagnosis of osteomyelitis. In conclusion, ultrasound may be a helpful and convenient tool for establishing the early diagnosis of pediatric osteomyelitis. Ultrasound and color Doppler sonography can be used as clinical parameters to evaluate the disease severity and the progression of osteomyelitis in children.",
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N2 - Acute osteomyelitis in childhood is uncommon. Early diagnosis is often difficult. We present a 7-year-old boy with clinical manifestation of fever and progressive left thigh swelling for one week. Sonography of the left thigh showed periosteal thickening with subperiosteal abscess around the metaphysis of the left distal femur. Tc-99m bone scintigraphy showed increased uptakes at the left distal femur. Osteomyelitis was suspected from the examination of ultrasound and bone scan examinations. His symptoms were not relieved following systemic antibiotic therapy and a follow-up color Doppler sonography showed vascular flows within and around the periosteum indicating active inflammation. He finally received surgical drainage and the operative findings confirmed the diagnosis of osteomyelitis. In conclusion, ultrasound may be a helpful and convenient tool for establishing the early diagnosis of pediatric osteomyelitis. Ultrasound and color Doppler sonography can be used as clinical parameters to evaluate the disease severity and the progression of osteomyelitis in children.

AB - Acute osteomyelitis in childhood is uncommon. Early diagnosis is often difficult. We present a 7-year-old boy with clinical manifestation of fever and progressive left thigh swelling for one week. Sonography of the left thigh showed periosteal thickening with subperiosteal abscess around the metaphysis of the left distal femur. Tc-99m bone scintigraphy showed increased uptakes at the left distal femur. Osteomyelitis was suspected from the examination of ultrasound and bone scan examinations. His symptoms were not relieved following systemic antibiotic therapy and a follow-up color Doppler sonography showed vascular flows within and around the periosteum indicating active inflammation. He finally received surgical drainage and the operative findings confirmed the diagnosis of osteomyelitis. In conclusion, ultrasound may be a helpful and convenient tool for establishing the early diagnosis of pediatric osteomyelitis. Ultrasound and color Doppler sonography can be used as clinical parameters to evaluate the disease severity and the progression of osteomyelitis in children.

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