May 1980

Falsely Normal Radionuclide Scans for Osteomyelitis

Author Affiliations

From the Divisions of Infectious Diseases (Drs Fleisher and Plotkin) and General Pediatrics (Drs Paradise and Fleisher) and the Department of Radiology (Dr Borden), University of Pennsylvania School of Medicine, Philadelphia.

Am J Dis Child. 1980;134(5):499-502. doi:10.1001/archpedi.1980.02130170049016

• Three children are described with osteomyelitis confirmed by roentgenogram, blood culture, bone culture, and/or histologic findings. None had an abnormal technetium scintigram. Despite the lack of falsely normal bone scans for osteomyelitis reported in the literature, our cases demonstrate the importance of instituting antibiotic therapy on the basis of clinical suspicion since no single nonsurgical procedure can be relied on to make a diagnosis of osteomyelitis.

(Am J Dis Child 134:499-502, 1980)