Massie J D, Sebes J I, Cowles S J
Department of Radiology, University of Tennessee Medical Center, Memphis.
J Thorac Imaging. 1993 Spring;8(2):137-42. doi: 10.1097/00005382-199321000-00006.
Four patients with infectious costochondritis were studied with computed tomography (CT) and bone scintigraphy. In all four patients the bone scan detected and accurately localized the sites of involvement. CT did not image bilateral involvement in one patient. Three of the four patients were intravenous drug abusers; in two of these patients, a species of Aspergillus was the offending organism. Therefore, in patients with signs and symptoms of chest wall inflammation, scintigraphy is the most direct route to the diagnosis of costochondritis. This entity is apparently occurring more frequently because of the prevalence of intravenous drug abuse. Bone scintigraphy delineates both the extent of individual costochondral lesions and their multiplicity.
对4例感染性肋软骨炎患者进行了计算机断层扫描（CT）和骨闪烁扫描检查。在所有4例患者中，骨扫描均检测到并准确定位了受累部位。CT未显示1例患者的双侧受累情况。4例患者中有3例为静脉药物滥用者；其中2例患者，曲霉菌属为致病微生物。因此，对于有胸壁炎症体征和症状的患者，闪烁扫描是诊断肋软骨炎最直接的途径。由于静脉药物滥用的普遍存在，这种疾病显然越来越常见。骨闪烁扫描可以描绘出各个肋软骨病变的范围及其多发性。
