Multifocal osteonecrosis and osteomyelitis in a liver transplant recipient
Mehtap Üçer1, Neslihan Yılmaz2, Yonca Çağatay3, Mari Benli4, Levent Ulusoy5, Murat Akyıldız6, Şule Yavuz2
1Department of Internal Medicine, Medical Faculty of İstanbul Bilim University, İstanbul, Turkey
2Department of Rheumatology, Medical Faculty of İstanbul Bilim University, İstanbul, Turkey
3Department of Rheumatology, İstanbul Florence Nightingale Hospital, İstanbul, Turkey
4Department of Nuclear Medicine, İstanbul Florence Nightingale Hospital, İstanbul, Turkey
5Department of Radiology, İstanbul Florence Nightingale Hospital, İstanbul, Turkey
6Department of Gastroenterology, İstanbul Florence Nightingale Hospital, İstanbul, Turkey
Keywords: Infection; liver transplantation; osteonecrosis.
Abstract
Osteonecrosis is the destruction of bone as a result of temporary or permanent cessation of blood supply to the bones. Trauma, drugs, infections, hypercoagulability and solid organ transplantation are the most common causes. Osteonecrosis has been reported in many case series after renal, liver and cardiac transplantation; mainly in areas adjacent to the joints, especially on hip. Here, we are reporting multifocal osteonecrosis with osteomyelitis including diaphyseal region of the tibia in a patient with liver transplantation.