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A 42-year-old man had a two-month history of low-grade fever, a 14-kg (30-lb) weight loss, night sweats, and pain and swelling of the right arm and thigh, with no history of trauma. Four months earlier he had had a dental abscess. Gadolinium-enhanced magnetic resonance imaging of the right thigh (Panel A) showed a large area of decreased signal intensity (long arrow) with several enhancing septa and periosteal elevation with loss of bone integrity (short arrow). Radiography of the right arm (Panel B) showed a periosteal reaction (short arrow) and intramedullary gas (long arrow). A bone scan (Panel C) showed increased . . . [Full Text of this Article]
Staaks, G. H.A., Krouwels, F. H., Kwa, B. H.B., Seville, M. T. A., Bhatti, M. A.
(2002). Hematogenous Anaerobic Osteomyelitis. NEJM
347: 533-533
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