Significance of repeat magnetic resonance imaging in diagnosing vertebral osteomyelitis
Significance of repeat magnetic resonance imaging in diagnosing vertebral osteomyelitis
复制标题
重复磁共振成像在诊断椎体骨髓炎中的意义
DOI：
10.1002/jgf2.226
复制
发表时间：
2018
影响因子：
1.6
通讯作者：
Matsumura Masami
中科院分区：
文献类型：
--
作者：
Kamiya Naoko;Hatakeyama Shuji;Kanda Naoki;Yonaha Sho;Akine Dai;Yamamoto Yu;Matsumura Masami
如果诊断延误，脊椎骨髓炎可能会导致严重的并发症。磁共振成像(MRI)被认为是椎体骨髓炎早期诊断最有用的方法。我们检查了三名椎体骨髓炎患者，他们最初的MRI(在症状出现2周后获得)没有发现明显的化脓性椎体骨髓炎的表现。然而，随访的MRI清楚地显示了该病的典型表现。这一系列病例表明，对于出现脊椎骨髓炎的临床表现和微生物学结果的患者，必须在症状出现2-4周后重复进行MRI检查。
Vertebral osteomyelitis can result in serious complications if diagnosis is delayed. Magnetic resonance imaging (MRI) is considered the most useful modality for the early diagnosis of vertebral osteomyelitis. We examined three patients with vertebral osteomyelitis whose initial MRI (obtained <2 weeks after the onset of symptoms) did not reveal obvious findings of pyogenic vertebral osteomyelitis. However, follow‐up MRI clearly demonstrated typical findings of the disease. This case series illustrates that a repeat MRI must be performed 2‐4 weeks after the onset of symptoms in patients presenting with clinical manifestations and microbiological findings suggestive of vertebral osteomyelitis.