Optimal imaging strategy for community-acquired Staphylococcus aureus musculoskeletal infections in children View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-08

AUTHORS

Lorna P. Browne, Edward O. Mason, Sheldon L. Kaplan, Christopher I. Cassady, Rajesh Krishnamurthy, R. Paul Guillerman

ABSTRACT

BACKGROUND: Invasive musculoskeletal infections from community-acquired methicillin-resistant and methicillin-susceptible Staphylococcus aureus (CA-SA) are increasingly encountered in children. Imaging is frequently requested in these children for diagnosis and planning of therapeutic interventions. OBJECTIVE: To appraise the diagnostic efficacy of imaging practices performed for CA-SA osteomyelitis and its complications. MATERIALS AND METHODS: A retrospective review was conducted of the clinical charts and imaging studies of CA-SA osteomyelitis cases since 2001 at a large children's hospital. RESULTS: Of 199 children diagnosed with CA-SA osteomyelitis, 160 underwent MRI examination and 35 underwent bone scintigraphy. The sensitivity of MRI and bone scintigraphy for CA-SA osteomyelitis was 98% and 53%, respectively. In all discordant cases, MRI was correct compared to bone scintigraphy. Extraosseous complications of CA-SA osteomyelitis detected only by MRI included subperiosteal abscesses (n = 77), pyomyositis (n = 43), septic arthritis (n = 31), and deep venous thrombosis (n = 12). CONCLUSION: MRI is the preferred imaging modality for the investigation of pediatric CA-SA musculoskeletal infection because it offers superior sensitivity for osteomyelitis compared to bone scintigraphy and detects extraosseous complications that occur in a substantial proportion of patients. More... »

PAGES

841-847

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00247-008-0888-8

DOI

http://dx.doi.org/10.1007/s00247-008-0888-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1030595254

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18560822


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