Scintigraphic detection of prosthetic joint and soft tissue sepsis secondary to tuberculosis.
In a 40-year-old Hispanic woman with pain and swelling in the left knee with a prosthesis, the combination of Ga-67 citrate and Tc-99m methylene diphosphonate (MDP) scans was used to indicate that there was a septic prosthetic joint. At surgery, the joint was infected and a foreign body was found. Cultures positive for tuberculosis were found also. The presence of an incongruent Ga-67 and Tc-99m (MDP) scan pattern suggests infection of the prosthetic joint, as in the following case.
D000328:Adult; D004164:Diphosphonates; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis; D005710:Gallium Radioisotopes; D006801:Humans; D007717:Knee / Q000000981:diagnostic imaging*; D007720:Knee Prosthesis; D011877:Radionuclide Imaging; D013667:Technetium; D013669:Technetium Tc 99m Medronate; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging*
D004164:Diphosphonates; D005710:Gallium Radioisotopes; D013667:Technetium; D013669:Technetium Tc 99m Medronate