Sclerosing osteomyelitis of Garré: A confusing clinical diagnosis
| Autor: | Jai Hyung Park, Eegene Kim, Seungcheol Song, Hwa Jae Jeong, Se-Jin Park, Hun-Kyu Shin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Osteoid osteoma
musculoskeletal diseases medicine.medical_specialty Biopsy medicine.medical_treatment Blood Sedimentation Diagnosis Differential 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery medicine Back pain Humans Femur Right Thigh 030222 orthopedics Referred pain medicine.diagnostic_test business.industry Osteomyelitis Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Curettage Surgery Radiography lcsh:RD701-811 C-Reactive Protein Erythrocyte sedimentation rate Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 27 (2019) |
| ISSN: | 2309-4990 |
| Popis: | We describe a rare case of sclerosing osteomyelitis of Garré in a 63-year-old woman with uncontrolled right thigh pain. She had suffered from lower back pain and radiating pain on the right lower leg for a year and 4 months and so had spine surgery 8 months ago. But the right thigh pain persisted, and the levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) remained abnormal. Right femur radiographs showed cortical thickening on the proximal femur. Magnetic resonance images showed T2 hypersignal intensity lesions in the proximal femur. Under suspicion of osteoid osteoma or sclerosing osteomyelitis, surgery was performed with biopsy, bone curettage, and drilling. The culture was negative, and the biopsy showed chronic osteomyelitis. Despite surgery, the levels of CRP and ESR still remained abnormal. After using venous antibiotics, the pain subsided and CRP and ESR levels turned to normal. Followed by 6 weeks of oral antibiotics, pain was relieved after 1-year follow-up. |
| Databáze: | OpenAIRE |
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