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Abstract

Sickle cell disease is a genetic disease transmitted in an autosomal recessive way. Acute bone pain crises frequently occur in children with sickle cell disease and may be related to bone infarction or osteomyelitis.

Acute bone infarction can simulate osteomyelitis clinically and biologically as well as in imaging. However, the distinction is essential because the diagnosis of osteomyelitis requires long-term emergency antibiotic therapy, while bone infarction justifies treatment. of a few days. MRI with Gadolinium injection remains the key examination for making the diagnosis.

Through this work, we report the case of a 12-year-old child with sickle cell disease who presents for bone pain not relieved by paracetamol palliative II by Identifying the semiological elements MRI allowing to differentiate bone infarction of osteomyelitis, faced with acute febrile bone pain in a child with sickle cell disease.