title: Unsuspected meningitis diagnosed by In-111 labeled leukocytes. A case report.
abstract: Clinically unsuspected bacterial meningitis was found in a patient with fever of unknown origin. Blood and urine cultures were negative for growth. Chest radiography and abdominal CT were negative for infection. Triple-phase bone imaging was performed to rule out osteomyelitis from a gunshot wound. A left posterior iliac crest hot spot may have represented osteomyelitis, but In-111 labeled leukocyte imaging instead disclosed unsuspected meningitis. The CSF culture after the imaging was positive for Enterobacter aerogenes.
authors.affiliation: Department of Radiology, Davis Medical Center, University of California, Sacramento.
authors.forename: M E
authors.initials: ME
authors.lastname: Spieth
authors.forename: H H
authors.initials: HH
authors.lastname: Kim
authors.forename: P V
authors.initials: PV
authors.lastname: Ford
mesh_terms: D000328:Adult; D005335:Fever of Unknown Origin / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007205:Indium Radioisotopes; D007710:Klebsiella Infections / Q000150:complications* / Q000000981:diagnostic imaging; D007711:Klebsiella pneumoniae; D007962:Leukocytes; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging
chemical_list: D007205:Indium Radioisotopes