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111In-Oxine-WBC SPECT/CT of Lumbosacral Facet Joint Septic Arthritis.

Authors
  • Zamora, Edgar1
  • Valdivia, Ana Y
  • Kumar, Arun
  • Chun, Kwang J
  • 1 From the Division of Nuclear Medicine, Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY.
Type
Published Article
Journal
Clinical nuclear medicine
Publication Date
Jan 01, 2021
Volume
46
Issue
1
Identifiers
DOI: 10.1097/RLU.0000000000003282
PMID: 32956115
Source
Medline
Language
English
License
Unknown

Abstract

Spinal facet joint septic arthritis is a rare pathology associated with pyogenic organisms. It may present in older adults with back pain, fever, and positive bacterial blood cultures. However, clinical presentation may be equivocal, and diagnosis relies on anatomic imaging for differentiation from other pathologies. Magnetic resonance is considered the imaging modality of choice and has been found superior to CT; however, it is unable to differentiate facet joint septic arthritis from other inflammatory arthropathies. We present a case of lumbosacral facet joint septic arthritis as seen on In-oxine-WBC scintigraphy and SPECT/CT.

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