Tc-99m MDP Bone Scintigraphy in Septic Shock

被引：2
|
作者：
Chicklore, Sugama [1 ]
Bashir, Humayun [1 ]
Vijayanathan, Sanjay [1 ]
Gnanasegaran, Gopinath [1 ]
机构：
[1] Guys & St Thomas Hosp NHS Trust, London, England
来源：
CLINICAL NUCLEAR MEDICINE | 2009年 / 34卷 / 11期
关键词：
streptococcal infection; toxic shock syndrome; Tc-99m MDP bone scintigraphy; bone infarction; rhabdomyolysis; DISSEMINATED INTRAVASCULAR COAGULATION; MENINGOCOCCAL SEPTICEMIA; FULMINANT MENINGOCOCCEMIA; AMPUTATION; FROSTBITE; VIABILITY;
D O I：
10.1097/RLU.0b013e3181b81cd2
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：
An 8-year-old girl presented with a history of diarrhea, vomiting, and drowsiness. Clinical examination confirmed septic shock with marked metabolic acidosis. As a complication of septicemia, severe ischemia of all 4 limbs was noted from day I and she subsequently developed peripheral gangrene. Tc-99m MDP bone scan showed extensive bone infarction in all 4 limbs. Early diagnosis of osteonecrosis and amputation may prevent worsening of sepsis. However, it is not possible to clinically demarcate the level of amputation. Bone scan is a useful diagnostic tool in determining the appropriate level of amputation.
引用
收藏
页码：834 / 835
页数：2
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