IntroductionAn osteomyelitis may be difficult to diagnose by conventional imaging methods; nuclear medicine imaging can detect a lesion in the very early stages, highlighting the metabolic changes preceding structural ones. We present a case of Salmonella osteomyelitis in a 26-year-old woman, involving the distal epiphysis of the right femur.
Case reportAfter performing an Magnetic Resonance Imaging, which showed a nonspecific osteolytic lesion, the patient underwent a bone scan and a scintigraphy with labelled granulocytes, both integrated by a SPECT/CT regional study. After diagnosing osteomyelitis, the patient underwent surgical curettage, and Salmonella spp. group B was isolated. The patient finally underwent antibiotic therapy with complete relief. Conclusion Our case report is a clear example of how nuclear medicine techniques can address the diagnosis of infectious lesions better than conventional imaging.