Document Detail

An uncommon case of septic cortical osteitis.
MedLine Citation:
PMID:  17667436     Owner:  NLM     Status:  MEDLINE    
A 39-year-old healthy female patient with an unremarkable medical history complained about a rapidly progressive pain for a period of 1 month at the level of the anterior part of the right leg that was not relieved by NSAIDs. She mentioned only that she resumed her high level sport training 6 months before the onset of the symptoms. There was no specific history of trauma, fever, or other distinctive symptoms. On clinical examination, the right pretibial skin was inflamed and extremely painful. Walking became difficult the last 2 weeks. No skin injury was observed on the right leg and foot. The early blood tests, consistent with moderate aspecific inflammation, showed a slightly elevated C-reactive protein and sedimentation rate, without any leukocytosis. Upon first consultation the plain radiographs of the right leg were normal, but control radiographs obtained 2 weeks later showed cortical and lamellar lucencies of the right tibial crest.
Christian Picard; Bruno Krug; Yves Boutsen; Bénédicte Delaere; Jean-François Nisolle; Pierre Abouhamad; Anne-Sophie Pirson; Thierry Vander Borght
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  32     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-12-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  624-7     Citation Subset:  IM    
Department of Nuclear Medicine, Mont-Godinne Medical Center, Université Catholique de Louvain, Belgium.
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MeSH Terms
Osteitis / diagnosis*
Rare Diseases / diagnosis
Streptococcal Infections / diagnosis*
Streptococcus milleri Group
Tibia / pathology*,  radiography,  radionuclide imaging*

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