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Klebsiella Pneumoniae Osteomyelitis: Demonstration by Three-Phase Radionuclide Bone Imaging

Nuclear Medicine Service, Veterans Administration Medical Center, Jackson, Mississippi

Correspondence: For reprints contact: Jane A. Sanders, MD, Chief, Nuclear Medicine Service, Veterans Administration Medical Center, 1500 E. Woodrow Wilson Dr., Jackson, MS 39216.

ABSTRACT

The Klebsiella pneumoniae bacillus is a rare cause of acute hematogenous osteomyelitis of long bones. Bony involvement usually develops from a bacteremia associated with a Klebsiella pulmonary or urinary tract infection. Diabetes mellitus, alcoholism, or cirrhosis are predisposing conditions to the development of this form of osteomyelitis. A case report follows in which two sites of Klebsiella osteomyelitis were demonstrated by three-phase bone imaging in a patient with both diabetes and alcoholism.