A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature

Emphysematous osteomyelitis is a rare but potentially fatal condition that must be considered whenever intraosseous gas is identified on imaging. The organisms implicated in most cases of emphysematous osteomyelitis are anaerobes or members of the Enterobacteriaceae family. Significant comorbidities...

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Main Authors: Marcela Mautone, Jessica Gray, Parm Naidoo
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2014/616184
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author Marcela Mautone
Jessica Gray
Parm Naidoo
author_facet Marcela Mautone
Jessica Gray
Parm Naidoo
author_sort Marcela Mautone
collection DOAJ
description Emphysematous osteomyelitis is a rare but potentially fatal condition that must be considered whenever intraosseous gas is identified on imaging. The organisms implicated in most cases of emphysematous osteomyelitis are anaerobes or members of the Enterobacteriaceae family. Significant comorbidities, such as malignancy and diabetes mellitus, frequently predispose to this condition, and high mortality rates have been reported. The radiologist must be aware of the implications of identifying intraosseous gas in order to facilitate early diagnosis and expedite management. We report a unique case of a 58-year-old male with diabetes mellitus who presented with emphysematous osteomyelitis of the midfoot and necrotising fasciitis of the ipsilateral distal lower limb. Specimen cultures in this case revealed a pure growth of Group G Streptococcus.
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publishDate 2014-01-01
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series Case Reports in Radiology
spelling doaj-art-f8c4f66a2a9149f5a5df29b27f659dc12025-02-03T01:25:38ZengWileyCase Reports in Radiology2090-68622090-68702014-01-01201410.1155/2014/616184616184A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the LiteratureMarcela Mautone0Jessica Gray1Parm Naidoo2Monash Medical Centre, Monash Health, 246 Clayton Road, Clayton, Melbourne, VIC 3168, AustraliaUniversity of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Radiology, Monash Health, 246 Clayton Road, Clayton, Melbourne, VIC 3168, AustraliaEmphysematous osteomyelitis is a rare but potentially fatal condition that must be considered whenever intraosseous gas is identified on imaging. The organisms implicated in most cases of emphysematous osteomyelitis are anaerobes or members of the Enterobacteriaceae family. Significant comorbidities, such as malignancy and diabetes mellitus, frequently predispose to this condition, and high mortality rates have been reported. The radiologist must be aware of the implications of identifying intraosseous gas in order to facilitate early diagnosis and expedite management. We report a unique case of a 58-year-old male with diabetes mellitus who presented with emphysematous osteomyelitis of the midfoot and necrotising fasciitis of the ipsilateral distal lower limb. Specimen cultures in this case revealed a pure growth of Group G Streptococcus.http://dx.doi.org/10.1155/2014/616184
spellingShingle Marcela Mautone
Jessica Gray
Parm Naidoo
A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature
Case Reports in Radiology
title A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature
title_full A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature
title_fullStr A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature
title_full_unstemmed A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature
title_short A Case of Emphysematous Osteomyelitis of the Midfoot: Imaging Findings and Review of the Literature
title_sort case of emphysematous osteomyelitis of the midfoot imaging findings and review of the literature
url http://dx.doi.org/10.1155/2014/616184
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