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Pelvic inflammatory disease with Tc‐99 m Ciprofloxacin imaging
Author(s) -
Im Moon Whan,
Choe Wonsick,
Hwang Sung Ook,
Song EunSeop,
Lee Woo Young
Publication year - 2008
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2008.00920.x
Subject(s) - medicine , pelvic inflammatory disease , erythrocyte sedimentation rate , pathognomonic , chlamydia , ciprofloxacin , radiology , gastroenterology , nuclear medicine , pathology , disease , surgery , antibiotics , immunology , microbiology and biotechnology , biology
The clinical diagnosis of pelvic inflammatory disease (PID) is inexact. There are multiple potential symptoms and signs ascribable to PID as predicted by areas of inflammatory involvement. No symptoms or signs are pathognomonic for PID. The authors describe single photon emission computed tomography (SPECT) images of technetium‐99m ( 99m Tc) ciprofloxacin imaging of patients with PID that showed foci of significantly increased uptake in the regions corresponding to the areas of clinical symptoms. We report two such cases of PID. We undertook physical exams, complete blood count, erythrocyte sedimentation rate, C‐reactive protein, Gram stains, wet smears, cultures, Mycoplasma genetic studies, Chlamydia cultures, and SPECT before treatment. During treatment we took laparoscopies, hysteroscopies, biopsies, and cultures. After the treatment, we repeated the same exams. 99m Tc ciprofloxacin imaging is considered valuable in persons with symptoms of PID in whom diagnosis is difficult.