Servicio de Radiodiagnóstico, Hospital Universitario Clínico San Cecilio, Granada, Spain.
Servicio de Radiodiagnóstico, Hospital Universitario Clínico San Cecilio, Granada, Spain.
Radiologia (Engl Ed). 2023 Oct;65 Suppl 2:S71-S73. doi: 10.1016/j.rxeng.2023.09.004. Epub 2023 Sep 16.
Emphysematous osteomyelitis is an extremely rare entity consisting of the presence of intraosseous gas that can extend to the joints and adjacent soft tissues. It is an aggressive infectious process associated with high mortality, especially in patients with risk factors such as tumors or diabetes mellitus. Because early diagnosis and immediate treatment are crucial to prevent the potentially devastating consequences of this condition, imaging tests such as computed tomography play a fundamental role in its diagnosis and management. Therefore, radiologists must be aware that intraosseous gas is a rare but alarming sign that is pathognomonic of emphysematous osteomyelitis, especially in the axial skeleton.
气肿性骨髓炎是一种极为罕见的疾病，其特征是骨髓内存在气体，可延伸至关节和相邻的软组织。这是一种侵袭性感染过程，死亡率很高，尤其是在存在肿瘤或糖尿病等危险因素的患者中。由于早期诊断和及时治疗对于防止这种疾病的潜在破坏性后果至关重要，因此影像学检查（如计算机断层扫描）在其诊断和管理中发挥着重要作用。因此，放射科医生必须意识到，骨髓内气体是一种罕见但具有警示意义的征象，是气肿性骨髓炎的特征性表现，尤其是在轴性骨骼中。
