Document Detail


Comparison of bone and gallium-67 imaging in heroin users' arthritis.
MedLine Citation:
PMID:  3864943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nine cases of primary septic arthritis in heroin addicts are reported. Fibrous and cartilaginous joint localizations are prominent (four sternoarticular, three sacroiliac, one sacroccocygeal, and one knee). In all patients but one, conventional roentgenographic studies were negative. In six cases the causative agent was Staphylococcus aureus and in two cases, Candida albicans. In one case, it could not be determined. Our clinical observations, correlating the radioisotopic studies, suggest that in the first week of evolution the diagnostic procedure of choice is the [67Ga]citrate scintigram. Indeed, during this period the [99Tc]MDP bone scan is usually negative. The early demonstration and localization of the disease, together with the rapid bacteriologic diagnosis, allows for an early and more appropriate antibiotic treatment and better results.
Authors:
A Bittini; P L Dominguez; M L Martinez Pueyo; F J López Longo; I Monteagudo; L Carreño
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of nuclear medicine : official publication, Society of Nuclear Medicine     Volume:  26     ISSN:  0161-5505     ISO Abbreviation:  J. Nucl. Med.     Publication Date:  1985 Dec 
Date Detail:
Created Date:  1986-01-15     Completed Date:  1986-01-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0217410     Medline TA:  J Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1377-81     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arthritis, Infectious / etiology,  radionuclide imaging*
Bone and Bones / radionuclide imaging*
Candidiasis / etiology,  radionuclide imaging*
Female
Gallium Radioisotopes / diagnostic use*
Heroin Dependence / complications*
Humans
Joints / radionuclide imaging*
Male
Sacroiliac Joint / radionuclide imaging*
Staphylococcal Infections / etiology,  radionuclide imaging*
Sternocostal Joints / radionuclide imaging*
Technetium Tc 99m Medronate / diagnostic use*
Time Factors
Chemical
Reg. No./Substance:
0/Gallium Radioisotopes; 63347-66-0/Technetium Tc 99m Medronate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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