THE ROENTGENOGRAPHIC FINDINGS OF ORTHOPEDIC MELIOIDOSIS
Keywords:
The Roentgenographic findings of Orthopedic Melioidosis, geographic, permeative, punched-out and mixed bone destruction, Metaphyses, Periosteal reaction, Effusion. ErosionAbstract
The purpose of our study was to describe roentgenographic appearance of Melioidosis in musculoskeletal system, discuss its differential diagnosis and its associated diseases.
We review the conventional radiographs of the 8 proven cases of Melioidosis involving bones. and joints on the basis of the type of bony destruction, location and periosteal reaction.
The result of serological analysis, history of associated diseases were discussed.
5 patients with osteomyelitis involved large tubular bones. The types of bony destruction were geographic, permeative, punched-out and mixed permeative and punched-out osteolytic destruction. Most common location was metaphyses.
There are two cases of periosteal reaction, codman and solid buttress.
Of the 2 patients with septic arthritis, larged joints were involved. Roentgenographic findings were joint effusion and bony erosion.
There were variable radiographic features of Melioidosis. Osteolytic destruction with or without periosteal reaction was shown. Lack of reactive sclerosis may not be differentiated from primary or secondary bone tumor and osteomyelitis from other organisms. The roentgen findings of arthritis could not be differentiated from Tbc.
DM was the most common associated disease. Indirect hemagglutinin titer over 1:160 was helpful in the diagnosis.
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