Periprosthetic Clostridium difficile hip abscess imaged with In-111 WBCs.
During a prolonged hospital stay, left hip pain developed in a woman with sickle cell disease and bilateral hip prostheses. In-111 labeled WBC scintigraphy supplemented by Tc-99m SC bone marrow imaging demonstrated abnormal WBC accumulation surrounding the left greater trochanter. Results of surgical exploration showed an abscess involving the pseudocapsule, trochanteric bursa, and periprosthetic cement column. Cultures grew Clostridium difficile, an unusual pathogen in this site.
Achong
D M
DM
Department of Radiology, New England Medical Center, Boston, Massachusetts.
Oates
E
E
D000038:Abscess / Q000000981:diagnostic imaging* / Q000382:microbiology; D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications; D001853:Bone Marrow / Q000000981:diagnostic imaging; D016360:Clostridioides difficile / Q000302:isolation & purification*; D003015:Clostridium Infections / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007205:Indium Radioisotopes; D007962:Leukocytes; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging* / Q000382:microbiology*; D011877:Radionuclide Imaging; D013671:Technetium Tc 99m Sulfur Colloid
D007205:Indium Radioisotopes; D013671:Technetium Tc 99m Sulfur Colloid