Abstract

Emphysematous osteomyelitis is an uncommon form of bone infection. The disease usually presents with fever and pain in the affected area, and computed tomography is required for diagnosis. The causative pathogens include anaerobic and gram-negative bacilli, which are gas-forming bacilli. The diagnosis of the disease is challenging, and poor outcomes are common. In patients with bone metastasis, emphysematous osteomyelitis can be  misinterpreted as progressive bone destruction. Here, we present a patient with advanced gastric cancer with bone metastasis, who developed emphysematous osteomyelitis of the ilium and subsequently succumbed to the disease.