Occult epiphyseal bone abscess: lessons for the unwary.

  title={Occult epiphyseal bone abscess: lessons for the unwary.},
  author={Michael J. Solomon and Michael Stening and Samuel J Macdessi and Christine Shearman and John Pereira and C. C. Hiew and Hans van der Wall},
  journal={Australasian radiology},
  volume={47 2},
Two male children presented with increasing pain in the right knee and constitutional symptoms. Biochemical markers of inflammation were elevated. Plain radiography was reported as normal and bone scintigraphy was consistent with synovitis of the right knee in the first case. The second child underwent aspiration of the knee with drainage of turbid fluid 1 week after antibiotics. Slow response to therapy led to MRI and CT scanning in the second child, revealing an epiphyseal abscess. Review of… CONTINUE READING