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Incremental value of three-phase bone scintigraphy and single-photon emission computed tomography–computed tomography in a case of postpartum PUO in the wake of the antibiotic-resistance era
Author(s) -
Pramukh Kulkarni,
Indirani Elangoven,
A Jaykanth,
Shelley Simon
Publication year - 2021
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_168_20
Subject(s) - medicine , single photon emission computed tomography , bone scintigraphy , radiology , computed tomography , magnetic resonance imaging , mastitis , nuclear medicine , pathology
Postpartum methicillin-resistant Staphylococcus aureus (MRSA) infection occurs in patients with complicated vaginal delivery or cesarean section. The infection can manifest as mastitis, endometritis, and if untreated may lead to toxic shock syndrome. We report a case of postpartum MRSA osteomyelitis diagnosed by 99mtechnetium-methylene diphosphonate skeletal scintigraphy and single-photon emission computed tomography-computed tomography (CT) that was further confirmed by magnetic resonance imaging and CT-guided biopsy. This multimodal imaging approach helped reach the diagnosis and in further management of the patient.

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