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KMID : 1148920150490020153
Nuclear Medicine and Molecular Imaging
2015 Volume.49 No. 2 p.153 ~ p.156
Precision of SPECT/CT Allows the Diagnosis of a Hidden Brodie¡¯s Abscess of the Talus in a Patient with Sickle Cell Disease
Al Jafar Hassan

Al Shemmeri Eman
Al Shemmeri Jehan
Aytglu Leena
Afzal Uzma
Al Enizi Saud
Abstract
Brodie¡¯s abscess is a rare subacute osteomyelitis that can be found in sickle cell disease along with other bone complications. A 21-year-old female with sickle cell disease was presenting frequently to the medical casualty department for painful vasoocclusive crises and for persistent ankle pain and swelling. Hybrid imaging with single-photon emission computed tomography-computed tomography (SPECT-CT) incidentally revealed Brodie¡¯s abscess in the talus bone of the ankle, causing persisting long-standing pain. SPECT-CT is a modern technology used to scan bone to detect both anatomical and functional abnormalities with high specificity. Brodie¡¯s abscess is a rare bone inflammation that could be a hidden cause of pain and infection in sickle cell disease. Although rare, this lesion requires more attention in patients with sickle cell disease because their immunocompromised status renders them prone to this infection.
KEYWORD
Sickle cell disease, Brodie¡¯s abscess, SPECT-CT
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