Unsuspected meningitis diagnosed by In-111 labeled leukocytes. A case report.
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.
Spieth
M E
ME
Department of Radiology, Davis Medical Center, University of California, Sacramento.
Kim
H H
HH
Ford
P V
PV
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
D007205:Indium Radioisotopes