# Multifocal Emphysematous Osteomyelitis of the Spine and Pelvis

## TL;DR

This paper highlights that bubbly or irregular intraosseous gas on imaging is a key sign of emphysematous osteomyelitis, especially in immunocompromised patients.

## Contribution

The paper emphasizes the importance of recognizing specific imaging patterns for urgent treatment of a rare bone infection.

## Key findings

- Intraosseous gas with a bubbly or irregular pattern is strongly associated with emphysematous osteomyelitis.
- Immunocompromised patients without trauma or surgery history are particularly at risk.
- Prompt antimicrobial treatment is crucial upon detection of these imaging features.

## Abstract

Teaching point: Detection of intraosseous gas with a bubbly or irregular pattern on imaging should raise a strong suspicion for emphysematous osteomyelitis and prompt urgent antimicrobial treatment, particularly in immunocompromised patients without a history of trauma or surgery.