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Early Acute Hematogenous Osteomyelitis Detected by Bone Scintigraphy but not MRI

Chamroonrat, Wichana MD,*†; Zhuang, Hongming MD, PhD*

doi: 10.1097/RLU.0b013e3182815fb6
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Early diagnosis of acute hematogenous osteomyelitis (AHO) is crucial for effective management and to reduce the potential risk of lifelong deformities in pediatric patients. Both bone scintigraphy and MRI as current diagnostic imaging claim their high sensitivity in early detection of the disease. We present a 9-year-old girl patient with AHO in the distal right tibia, which was demonstrated on bone scintigraphy while a subsequent MRI on the same day was negative.

From the *Department of Radiology, The Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA; and †Department of Radiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Received for publication September 5, 2012; revision accepted October 25, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Wichana Chamroonrat, MD, Nuclear Medicine, Ramathibodi Hospital, 270 Rama VI Road, Ratchathewi, Bangkok 10400, Thailand. E-mail:

© 2013 by Lippincott Williams & Wilkins