Demonstration of spinal osteomyelitis with Ga-67 citrate, Tc-99m MDP, and Tc-99m ciprofloxacin with provisionally negative results on MRI

被引:3
作者
Jayaraman, S
Al-Nahhas, AM [1 ]
Vivian, G
Gilbert, TJ
Hughes, PM
机构
[1] Derriford Hosp, Dept Nucl Med, Plymouth PL6 8DH, Devon, England
[2] Derriford Hosp, Dept Gen Med, Plymouth PL6 8DH, Devon, England
[3] Derriford Hosp, Dept Radiol, Plymouth PL6 8DH, Devon, England
关键词
Ga-67; scintigraphy; osteomyelitis; Tc-99m ciprofloxacin; Tc-99m MDP;
D O I
10.1097/00003072-200003000-00022
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A 65-year-old woman was hospitalized with pyrexia and lumbar back pain. Radiographs of her lumbar spine and MRI were performed on the day of admission and the results were considered normal. Five days after admission, a Tc-99m MDP bone scan was performed and showed nonspecific increased uptake at L2-L3. Planar and SPECT Ga-67 citrate scintigraphy showed increased tracer uptake at L2-L3. MRI confirmed osteomyelitis at this site. A Tc-99m ciprofloxacin scan was performed and also showed infection at L2-L3. Group B Streptococcus grew in blood cultures from the patient, who improved clinically after a prolonged course of antibiotics.
引用
收藏
页码:224 / 226
页数:3
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