Osteomyelitis. Osteomyelitis. Hematogene verspreiding Verspreiding per continuitatum vanuit wekedelen of gewrichten Directe inoculatie t.g.v. trauma of chirurgie. Classificaties. Waldvogel , 1971 Classification based on pathogenesis Hematogenous Contiguous focus of infection
Mandell, Douglas and Bennett’s, Principles and practice of infectious diseases, seventh edition
Open chirurgisch biopt of naaldbiopsie
Figure 1. Plain film radiograph of spinal discitis / osteomyelitis. Lateral view of the lumbar spine demonstrates L 3-4 disc space narrowing (arrow) and end-plate irregularity.
Figure 2. MRI of lumbar spine discitis/osteomyelitis. A. Sagittal T1-weighted images of the lumbar spine in the same patient as figure 1 demonstrate T1-hypointense signal (solid arrows) centered around the L3-4 interspace. B. Post gadolinium sagittal fat-suppressed T1-weighted images shows marrow (dashed arrows) and disc enhancement with endplate erosions.
An 11-y-old boy with history of X-linked chronic granulomatous disease who underwent 18F-FDG PET/CT as part of his work-up. Coronal PET image demonstrates several areas of osteomyelitis (both feet and distal right femur) (O), several soft-tissue sites of inflammation (left forearm, left femur, and both shins) (I), pneumonia (P), and paratracheal and hilar adenopathy (A).
FDG = Fluorine 18 fluorodeoxyglucose
CID 2012:54 (1 february)
Cure % No. Patients
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