Abstract
A 41-year-old man with known Crohn's disease presented with chest pain and fever.
Plain film and CT of the chest were normal, but bone scan and gallium scans showed
intense sternal uptake. Surgery revealed staphylococcal osteomyelitis of the sternum.
Following appropriate antibiotic treatment, the patient's symptoms resolved and follow-up
gallium scans became normal. This is the first report of the association of sternal
osteomyelitis and Crohn's disease, although other sites have been described. Sternal
osteomyelitis has a high morbidity and the index of suspicion for this condition must
be high even in the face of initially negative imaging.
Keywords
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References
- Primary sternal osteomyelitis in infants: a report of two cases.J Pediatr Orthop. 1999; 8: 125-126
- Primary sternal osteomyelitis.Pediatr Infect Dis J. 1995; 14: 722-723
- Staphylococcus aureus sternal osteomyelitis complicating bone marrow aspiration.South Med J. 1978; 71: 348-349
- Primary acute osteomyelitis of the sternum associated with anterior mediastinitis.J Chir (Paris). 1996; 133: 20-22
- Infection of sternal wound in heart surgery: analysis of 1000 operations.Med Clin (Barc). 1996; 106: 401-404
- Sternal osteomyelitis in drug addicts.J Bone Jt Surg, Br Vol. 1990; 72: 328-329
- A rare case of osteomyelitis of the sternum in an adult with sickle cell disease.Hemoglobin. 2001; 25: 111-113
- Propionibacterium acnes isolated from sternal osteitis in a patient with SAPHO syndrome.J Rheumatol. 1996; 23: 1302-1304
- Primary sternal osteomyelitis by Aspergillus fumigatus.Br J Rheumatol. 1994; 33: 994-995
- Primary osteomyelitis of the sternum due to Salmonella hirschfeldii.Can J Surg. 1981; 24: 81-82
- Primary sternal osteomyelitis in children with sickle cell disease.Pediatr Infect Dis J. 1999; 18: 940-942
- Sternal osteomyelitis caused by Mycobacterium tuberculosis: case report and review of the literature.Am J Med Sci. 2000; 319: 250-254
- Osteomyelitis of the sacrum as the initial manifestation of Crohn's.Clin Orthop. 1987; 222: 181-185
- Osteomyelitis associated with Crohn's disease. A case report and literature review.Orthopedics. 1989; 12: 285-288
- Osteomyelitis and osteonecrosis in inflammatory bowel disease.Can J Gastroenterol. 1997; 11: 601-606
- Value of bone scan in primary sternal osteomyelitis.South Med J. 1979; 72: 1603-1604
- Bacterial osteomyelitis: findings on plain radiography, CT, MR, and scintigraphy.Am J Roentgenol. 1991; 157: 365-370
- Evaluation of complicating osteomyelitis with Tc-99m MDP, In-111 granulocytes, and Ga-67 citrate.J Nucl Med. 1984; 25: 849
- Evaluation of postoperative osteomyelitis of the sternum comparing CT and dual Tc-99m MDP bone and In-111 WBC SPECT.Clin Nucl Med. 1993; 18: 197-202
- Sequential use of radiophosphate and radiogallium imaging in the differential diagnosis of bone, joint and soft tissue infection: quantitative analysis.Diagn Imaging. 1982; 51: 249
- Gallium scan in sternal osteomyelitis.Am J Roentgenol. 1979; 132: 840-841
- Osteomyelitis.N Engl J Med. 1997; 336: 999-1007
- MR imaging of pediatric musculoskeletal inflammatory and infectious disorder.Magn Reson Imaging Clin N Am. 1998; 6: 537-559
Article info
Publication history
Accepted:
October 15,
2002
Received:
September 15,
2002
Identification
Copyright
© 2003 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
