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Title: Septic arthritis of a lumbar facet joint: Detection with bone SPECT imaging

Abstract

We present a rare case of septic arthritis of a lumbar facet joint with an associated epidural abscess resulting from Staphylococcus aureus. The infection was initially detected with planar bone scintigraphy and precisely localized with single photon emission computed tomography bone scintigraphy, despite an initially negative radiologic evaluation that included radiographs of the lumbar spine, lumbar myelography, and a postmyelography x-ray computed tomography scan. In the appropriate clinical setting, a bone scan demonstrating unilateral increased activity within the spine should raise the suspicion of inflammatory involvement of the posterior elements.

Authors:
; ; ;  [1]
  1. Morristown Memorial Hospital, NJ (USA)
Publication Date:
OSTI Identifier:
5477249
Resource Type:
Journal Article
Journal Name:
Journal of Nuclear Medicine; (USA)
Additional Journal Information:
Journal Volume: 30:8; Journal ID: ISSN 0161-5505
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; RHEUMATIC DISEASES; DIAGNOSIS; SKELETON; SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY; BACTERIAL DISEASES; ORGANOMETALLIC COMPOUNDS; STAPHYLOCOCCUS; VERTEBRAE; BACTERIA; BODY; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; DISEASES; EMISSION COMPUTED TOMOGRAPHY; INFECTIOUS DISEASES; MICROORGANISMS; ORGANIC COMPOUNDS; ORGANS; SKELETAL DISEASES; TOMOGRAPHY; 550601* - Medicine- Unsealed Radionuclides in Diagnostics

Citation Formats

Swayne, L C, Dorsky, S, Caruana, V, and Kaplan, I L. Septic arthritis of a lumbar facet joint: Detection with bone SPECT imaging. United States: N. p., 1989. Web.
Swayne, L C, Dorsky, S, Caruana, V, & Kaplan, I L. Septic arthritis of a lumbar facet joint: Detection with bone SPECT imaging. United States.
Swayne, L C, Dorsky, S, Caruana, V, and Kaplan, I L. 1989. "Septic arthritis of a lumbar facet joint: Detection with bone SPECT imaging". United States.
@article{osti_5477249,
title = {Septic arthritis of a lumbar facet joint: Detection with bone SPECT imaging},
author = {Swayne, L C and Dorsky, S and Caruana, V and Kaplan, I L},
abstractNote = {We present a rare case of septic arthritis of a lumbar facet joint with an associated epidural abscess resulting from Staphylococcus aureus. The infection was initially detected with planar bone scintigraphy and precisely localized with single photon emission computed tomography bone scintigraphy, despite an initially negative radiologic evaluation that included radiographs of the lumbar spine, lumbar myelography, and a postmyelography x-ray computed tomography scan. In the appropriate clinical setting, a bone scan demonstrating unilateral increased activity within the spine should raise the suspicion of inflammatory involvement of the posterior elements.},
doi = {},
url = {https://www.osti.gov/biblio/5477249}, journal = {Journal of Nuclear Medicine; (USA)},
issn = {0161-5505},
number = ,
volume = 30:8,
place = {United States},
year = {Tue Aug 01 00:00:00 EDT 1989},
month = {Tue Aug 01 00:00:00 EDT 1989}
}