[Bone scintigraphy and diagnosis of osteoarticular tuberculosis in migrant workers. Study of a series of 50 scintigraphies].
Bone scintigraphy with 99 m technetium labelled phosphorus compounds was achieved in 50 west Africans migrant workers in Paris. Bone and joint tuberculosis was assumed in 20 cases. In 5 of these 20 cases, bone scan, but not X-Ray, showed abnormalities, and in 4, bone scan disclosed more localisations than X-Rays. In 7 cases, yet, bone scan was normal, with major osteolytic X-Rays lesions in 3 cases, minor in 2 cases, and isolated cold abscesses in two more cases: these means 7 false-negative results. Among the 30 other cases, 29 were considered as mechanical vertebral pathology, and 1 sacro-iliitis Brucellosis. Bone scan was normal in 28 cases the 2 others are unexplained false-positive. Although non-specific and not completely reliable, we think that bone-scanning is useful in bone-tuberculosis check-up, especially to obtain early diagnosis and detect multifocal localisations.
D000328:Adult; D000354:Africa, Western / Q000208:ethnology; D003937:Diagnosis, Differential; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010297:Paris; D011877:Radionuclide Imaging; D013131:Spine / Q000000981:diagnostic imaging; D014171:Transients and Migrants; D014394:Tuberculosis, Osteoarticular / Q000000981:diagnostic imaging*
La scintigraphie osseuse et le diagnostic de la tuberculose ostéo-articulaire du transplanté: Etude d'une série de 50 scintigraphies.