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Case Reports
. 2018 Aug 27:2018:bcr2018226297.
doi: 10.1136/bcr-2018-226297.

Challenging case of an intramedullary tibial abscess in the setting of chronic osteomyelitis

Affiliations
Case Reports

Challenging case of an intramedullary tibial abscess in the setting of chronic osteomyelitis

Kevin Bain et al. BMJ Case Rep. .
No abstract available

Keywords: bone and joint infections; medical management; orthopaedics; surgery; vascular surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) Permeative appearance of the proximal tibial metaphysis and diaphysis with areas of cortical lucency and endosteal scalloping, suspicious for osteomyelitis. (B) Intramedullary fluid collection within the proximal tibial metaphysis/epiphysis, containing hyperattenuating contents with two punctate foci of air measuring approximately 6.7×4.7×16.6 cm, suspicious for an intramedullary abscess. (C) Linear lucencies within the tibial cortex that communicate with multiple rim-enhancing fluid collections in the surrounding soft tissues surrounding the proximal and mid tibia, the largest of which measuring 3.8×5.0×6.3 cm.

References

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    1. Calhoun J, Manring MM, Shirtliff M. Osteomyelitis of the long bones. Semin Plast Surg 2009;23:059–72. 10.1055/s-0029-1214158 - DOI - PMC - PubMed

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