Emphysematous osteomyelitis is an extremly rare form of osteomyelitis which is complicated by infection with gas forming organims. Only a handful of cases are published in literature.
Commonely reported organisms include 1
- Fusobacterium necrophorum
- Escherichia coli
- Bacteroides spp
- Klebsiella pneumoniae
The vertebrae may be involved in ~ 40% of cases 1
It has characterised by presence of intra-osseous gas accompanied other signs of bony and soft tissue infection.
It was intially described by P C Ram and collegues in 1981 2.
- 1. Luey C, Tooley D, Briggs S. Emphysematous osteomyelitis: a case report and review of the literature. Int. J. Infect. Dis. 2012;16 (3): e216-20. doi:10.1016/j.ijid.2011.11.007 - Pubmed citation
- 2. Ram PC, Martinez S, Korobkin M et-al. CT detection of intraosseous gas: a new sign of osteomyelitis. AJR Am J Roentgenol. 1981;137 (4): 721-3. AJR Am J Roentgenol (citation) - Pubmed citation
- 3. Bielecki DK, Sartoris D, Resnick D et-al. Intraosseous and intradiscal gas in association with spinal infection: report of three cases. AJR Am J Roentgenol. 1986;147 (1): 83-6. AJR Am J Roentgenol (citation) - Pubmed citation