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Osteomyelitis and beyond.
[pyomyositis]
Musculoskeletal
infections
are
a
cause
of
considerable
morbidity
in
children
.
Symptoms
and
signs
are
often
nonspecific
,
and
imaging
is
needed
to
define
the
anatomical
location
of
infected
tissue
or
fluid
collections
for
diagnostic
aspiration
or
biopsy
.
Prompt
diagnosis
and
precise
localization
of
the
infection
site
has
become
even
more
imperative
with
the
emergence
and
dissemination
of
highly
invasive
organisms
such
as
community-acquired
Staphylococcus
aureus
.
Although
radiography
,
bone
scintigraphy
and
US
continue
to
play
a
role
,
MRI
is
now
the
preferred
imaging
modality
for
definitive
evaluation
of
pediatric
musculoskeletal
infections
because
of
its
capability
of
simultaneously
assessing
the
osseous
,
articular
and
muscular
structures
without
ionizing
radiation
exposure
.
This
article
focuses
on
the
imaging
characteristics
of
osteomyelitis
,
septic
arthritis
and
pyomyositis
and
the
differentiating
features
of
potential
mimics
of
infection
.
Diseases
Validation
Diseases presenting
"biopsy"
symptom
pyomyositis
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