South African Journal of Radiology (Feb 2021)

Rare presentation of chronic recurrent multifocal osteomyelitis of the Iliac wing mimicking Ewing’s sarcoma

  • Pankaj Nepal,
  • Syed I. Alam,
  • Sadia Sajid,
  • Joshua Sapire,
  • Vijayanadh Ojili

DOI
https://doi.org/10.4102/sajr.v25i1.2030
Journal volume & issue
Vol. 25, no. 1
pp. e1 – e4

Abstract

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This report describes a case of chronic recurrent multifocal osteomyelitis (CRMO) in an 11-year-old girl, involving the iliac bone as an initial, solitary site. Atypical imaging features were suspicious of a bone tumour, such as Ewing’s sarcoma. Chronic recurrent multifocal osteomyelitis is a great masquerader and can present atypically. Radiologists should be familiar with both typical and atypical presentations, to determine an accurate diagnosis and guide appropriate management. Timely diagnosis may avoid invasive bone biopsy and inappropriate long-term antibiotic prescription for children.

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