The diagnosis of osteomyelitis of the foot in diabetes: microbiological examination vs. magnetic resonance imaging and labelled leucocyte scanning

Abstract

Microbiological examination may be as useful as and less costly than other diagnostic procedures and is the only method which can guide the choice of antibiotic therapy.

Diagnosis, Treatment and Prevention of Diabetic Foot Wounds and Infections: Turkish Consensus Report

“…Kemik dokusunun kültüründe üreme olmasının, osteomyelit tanısında yüksek bir duyarlılık (%92) ve özgüllüğe (%60) sahip olduğu gösterilmiştir (48). Kemik biyopsisi yapılması önerilen durumlar Tablo 3'te gösterilmiş-tir.…”

Can Sequential18F-FDG PET/CT Replace WBC Imaging in the Diabetic Foot?

“…With clinical examination, it is difficult to differentiate between soft-tissue infection and osteomyelitis. The erythrocyte sedimentation rate is not specific (6). Bone biopsy is not always performed because it is an invasive procedure that loses its reliability when the biopsy fragment is contaminated by cutaneous bacteria (7).…”

Sentinel Lymph Node Biopsy for Gastrointestinal Cancers

“…Osteomiyelit tanısında, mikrobiyolojik değerlendirmenin %92 duyarlılık ve %60 özgüllüğü mevcuttur. Ancak, bakteriyel kontaminasyon nedeniyle, kültürün cerrahi sırasında alınması gereklidir (20).…”