Utility of combined 99mTc-phosphate and /sup 67/Ga imaging in diagnosis of septic arthritis
A case of septic arthritis diagnosed by combined 99m Tc-phosphate and /sup 67/Ga imaging, which preceded positive cultures of the infecting organism, is presented. A previously healthy 10-year-old girl complained of pain in the left hip with persistent fever. Initial laboratory studies showed a normal white cell count and negative blood cultures. A septic process was not confirmed. Blood flow studies and bone images with 99mTc-phosphate showed markedly increased perfusion in the left hip joint without extension to bone. Subsequent /sup 67/Ga images revealed a marked increase in radioactivity in the same region, indicating the presence of a septic process. Serial blood cultures and arthrocentesis showed Staphylococcus aureus. The patient improved on antibiotics.
- Research Organization:
- Kanazawa Univ., Kanazawa City, Japan
- OSTI ID:
- 5062754
- Journal Information:
- Clin. Nucl. Med.; (United States), Vol. 3:1
- Country of Publication:
- United States
- Language:
- English
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Related Subjects
59 BASIC BIOLOGICAL SCIENCES
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BONE JOINTS
SCINTISCANNING
GALLIUM 67
RADIONUCLIDE KINETICS
RHEUMATIC DISEASES
DIAGNOSIS
TECHNETIUM 99
ISOMERIC NUCLEI
PATIENTS
STAPHYLOCOCCUS
BACTERIA
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSTIC TECHNIQUES
DISEASES
ELECTRON CAPTURE RADIOISOTOPES
GALLIUM ISOTOPES
HOURS LIVING RADIOISOTOPES
INTERMEDIATE MASS NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
MICROORGANISMS
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPE SCANNING
RADIOISOTOPES
SKELETAL DISEASES
SKELETON
TECHNETIUM ISOTOPES
YEARS LIVING RADIOISOTOPES
550601* - Medicine- Unsealed Radionuclides in Diagnostics
551000 - Physiological Systems
560171 - Radiation Effects- Nuclide Kinetics & Toxicology- Man- (-1987)