Patient no. | Lesion site | Visual score | Final diagnosis | Diagnostic method |
---|---|---|---|---|
1 | 1. Colon diverticula | 2–3 | 1. Diverticulitis | CT |
2. L knee joint | 3 | 2. Septic arthritis | Culture (1) | |
2 | R lung | 1 | Pneumonia | Bronchioalveolar liquid culture (2) |
3 | Pelvic bone | 0 | No OM | MRI |
4 | 1. Deep foot ulcer | 3 | 1. Infected ulcer | Swab culture (3) |
2. Underlying bone | 0 | 2. No underlying OM | Radiography at 3-mo FU | |
5 | R and L lung | 3 | Opportunistic pneumonia | CT, transthoracic aspiration and sputum cultures (4) |
6 | 1. Pancreatic pseudocysts | 3 | Infected pancreatic pseudocysts | Culture (5) |
2. Sigmoid diverticulum | 3 | Sigmoid diverticulitis | CT | |
7 | Aortic valve | 2 | Endocarditis | Clinical criteria, with positive blood cultures (6) |
8 | Soft tissues R thigh | 1 | Myositis, no infection | Muscle biopsy histology |
9 | Skull bone at craniotomy site | 0 | No OM | Clinical evolution, 5-mo FU |
10 | 1. Olecranon bursa | 3 | 1. Olecranon bursitis with erysipelas | Clinical + US |
2. Underlying joint | 0 | 2. No septic arthritis | Clinical + US, 2-mo FU | |
11 | Pancreatic pseudocysts | 3 | Infected pancreatic pseudocysts | Culture (7) |
12 | 1. Ulcer L foot stump | 2 | 1. Infected ulcer | Deep wound swab culture (8) |
2. Underlying bone | 0 | 2. No OM | MRI | |
3. R maxillary sinus | 3 | 3. R maxillary sinusitis | CT | |
4. R ethmoid sinus | 3 | 4. R ethmoidal sinusitis | CT | |
13 | 1. Olecranon bursa | 2 | 1. Olecranon bursitis | Culture (9) |
2. Underlying bone | 0 | 2. No OM | Radiography, CT, 6-mo FU | |
14 | 1. Mesentery | 3 | 1 & 2. Giant cell arteritis | Clinical, 6-mo FU |
2. Effusion L pleura | 3 | |||
15 | 1. Large ulcer R forefoot | 3 | 1 & 2. Infected ulcer with OM of 5 foot bones | Deep wound swab culture + resected forefoot histology (10) |
2. Underlying bones | 2–3 | |||
16 | Pancreatic pseudocyst | 0 | Acute pancreatitis, no secondary infection | CT, 2-mo FU |
17 | Bronchiectasis L lung | 3 | Infected bronchiectasis | Bronchoalveolar liquid culture (11) and cytology |
18 | 1. R knee joint | 1 | 1 & 2. Whipple's disease | Anterior eye chamber liquid and blood PCR |
2. Mesenteric lymph node | 0 | |||
19 | 1. Peritoneum | 1 | 1 & 2. Diverticulitis with peritonitis | Resected sigmoid histology and ascites culture (12) |
2. Sigmoid diverticulum | 0 | |||
3. L hip joint | 0 | 3. Coxarthrosis | MRI | |
20 | L femoral head | 0 | Femoral head necrosis | Resected femoral head histology |
21 | 1. Ulcers R foot | 3 | 1 & 2. Infected ulcers with OM of 4 foot bones | Deep wound swab cultures (13) + resected forefoot histology |
2. Underlying bones R foot | 3 | |||
3. Ulcers L foot | 3 | 3 & 4. Infected ulcers with OM of 1 foot bone | Bone scan + leukocyte scan and deep wound swab cultures (13) | |
4. Underlying bones L foot | 3 |
FU = follow-up; L = left; R = right; US = ultrasound; PCR = polymerase chain reaction.
(1) Staphylococcus aureus; (2) Streptococcus pneumoniae; (3) Staphylococcus aureus; (4) Nocardia abscessus, Aspergillus fumigatus, and Rhizomucor pulsillus; (5) Polymicrobial flora with predominance of Escherichia coli and Streptococcus species; (6) Streptococcus bovis; (7) Enterobacter cloacae; (8) Staphylococcus aureus and Streptococcus agalactiae; (9) Staphylococcus aureus; (10) Streptococcus constellatus, Streptococcus intermedius, and Peptostreptococcus micros; (11) Pseudomonas aeruginosa; (12) Escherichia coli; (13) Escherichia coli and Staphylococcus aureus.