Indium 111-labeled white blood cell scintigraphy as an unreliable indicator of malignant external otitis resolution.
The field of otolaryngology-head and neck surgery has seen many advances in the treatment and prognosis of malignant external otitis (MEO). However, establishing the resolution of the infection remains problematic. A recent report suggests that indium 111-labeled white blood cell scintigraphy may be a reliable and timely indicator of resolution of infection. We present a case of a false-negative white blood cell scan in a patient with persistent MEO. A discussion of this case and a review of the literature illustrate that there continues to be no "gold standard" for establishing MEO resolution.
Redleaf
M I
MI
Department of Otolaryngology-Head and Neck Surgery, University of Chicago Medical Center, Illinois.
Angeli
S I
SI
McCabe
B F
BF
D000368:Aged; D005188:False Negative Reactions; D006801:Humans; D007205:Indium Radioisotopes; D007962:Leukocytes; D008297:Male; D010019:Osteomyelitis / Q000000981:diagnostic imaging; D010032:Otitis Externa / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate; D013701:Temporal Bone / Q000000981:diagnostic imaging
D007205:Indium Radioisotopes; D013669:Technetium Tc 99m Medronate