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Clinical Pediatrics
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Pitfalls in the Diagnosis of Acute Osteomyelitis by Bone Scan

Ellen R. Wald

Department of Pediatrics, the University of Pittsburgh

Robert Mirro

Department of Pediatrics, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania

J. Carlton Gartner

Department of Pediatrics, the University of Pittsburgh

Two patients with acute osteomyelitis had technetium 99m methylene di phosphonate bone images that were misinterpreted. A review of six prospective evaluations of technetium scanning in the diagnosis of acute osteomyelitis shows that bone image interpretation may be misleading in five to seven per cent of pediatric patients. Definitive diagnostic procedures and management should not be delayed until a positive bone scan is obtained, if the clinical findings are persuasive.

Clinical Pediatrics, Vol. 19, No. 9, 597-600 (1980)
DOI: 10.1177/000992288001900904
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D. L. Wethers and R. Grover
Pitfalls in Diagnosis of Osteomyelitis in Children with Sickle Cell Disease
Clinical Pediatrics, September 1, 1983; 22(9): 614 - 618.
[Abstract] [PDF]

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 CLIN PEDIATRHome page
H. Schubiner, M. Letourneau, and D.L. Murray
Pyogenic Osteomyelitis Versus Pseudo-Osteomyelitis in Gaucher's Disease: Report of a Case and Review of the Literature
Clinical Pediatrics, October 1, 1981; 20(10): 667 - 669.
[Abstract] [PDF]