Nucl Med Mol Imaging.  2010 Jun;44(2):161-163.

Unusual Case of Occult Brucella Osteomyelitis in the Skull Detected by Bone Scintigraphy

Affiliations
  • 1Department of Nuclear Medicine, Chonbuk National University Medical School, San 2-20 Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk 561-180, Korea. mhsohn@jbnu.ac.kr
  • 2Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.
  • 3Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.

Abstract

Brucellosis is a worldwide infectious disease of animals that can be transmitted to humans. Osteoarticular involvement is the most common complication of brucellosis. A 47-year-old man, who was a stockbreeder, complained of myalgia with fever and chills for 2 weeks. The serology titers and blood cultures for brucellosis were positive. Bone scintigraphy demonstrated a focally increased uptake in the left supraorbital area. Plain radiographs showed an osteolytic lesion, and an MRI revealed signal abnormalities in the corresponding site. We present an unususal case of occult Brucella osteomyelitis in the frontal bone of the skull detected by bone scintigraphy.

Keyword

Brucellosis; Osteomyelitis; Tc-99m MDP; Bone scintigraphy

MeSH Terms

Animals
Brucella
Brucellosis
Chills
Communicable Diseases
Fever
Frontal Bone
Humans
Middle Aged
Osteomyelitis
Skull
Technetium Tc 99m Medronate
Technetium Tc 99m Medronate
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