title: [An unexpected case of lower left-side abdominal pain. Acute reactivation of chronic osteomyelitis].
abstract: Osteomyelitis caused by S. aureus can be reactivated after decades. Our patient presented with an acute episode of lower left-side abdominal pain and subfebrile temperature due to a reactivation of a S. aureus osteomyelitis in the iliac bone which was initially misinterpreted as a sigma diverticulitis. Diagnosis was established by conventional radiographs as well as CT and MR scans. Harvesting the responsible germ by a bone biopsy prior to therapy is mandatory. Therapy consists of a surgical debridement combined with a long-lasting antibiotic therapy. Relapse can be found after long latency.
authors.affiliation: Klinik für Orthopädie und Traumatologie des Bewegungsapparats, Kantonsspital Liestal.
authors.forename: U
authors.initials: U
authors.lastname: Heim
authors.forename: M
authors.initials: M
authors.lastname: Clauss
authors.forename: P
authors.initials: P
authors.lastname: Graber
authors.forename: T
authors.initials: T
authors.lastname: Ilchmann
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D007085:Ilium / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000175:diagnosis*; D016659:Psoas Abscess / Q000175:diagnosis; D012446:Sacroiliac Joint / Q000473:pathology; D013203:Staphylococcal Infections / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed