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

页码：834 / 835

页数：2

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