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CC BY-NC-ND 4.0 · World J Nucl Med 2020; 19(02): 184-186
DOI: 10.4103/wjnm.WJNM_20_20
Interesting Cases

Contribution of radiobiphosphonates bone scan in multifocal tuberculous osteomyelitis

Salah Nabih
Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, Morocco
,
Omar Sahel
Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, Morocco
,
Yassir Benameur
Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, Morocco
,
Abderrahim Doudouh
Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Rabat, Morocco
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Abstract

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.

Keywords

Bone scan - multifocal osteomyelitis - tuberculous osteomyelitis

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 20. April 2020

Angenommen: 10. Mai 2020

Artikel online veröffentlicht:
19. April 2022

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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