Abstracts XIX Brazilian Congress of Nuclear Medicine
5. INFECTIOUS DISEASES
Caligaris F , Érico L. Camacho, Adriana I. Joaquim , Roberto A.de Toledo, Elisete Funes, Fernanda R. Q. Santos, Eleuses V. Paiva - Serviço de Medicina Nuclear e de Reumatologia do Hospital de Base -FUNFARME– São José do Rio Preto
The importance of the bone scintigraphy to detect osteoarticular lesions related to brucellosis will be discussed in a case report. A patient with the diagnosis of brucellosis seeks medical attention for low back pain. Radiographs of the lombar and sacral region revealed degenerative changes and a CT scan showed spondiloarthrosis at T12-L1, sclerosis and nonspecific irregularities in L1 and L2. Bone scintigraphy using MDP-99mTc demonstrated significant increased uptake in thoracic and lombar vertebras, sacroiliac joints and femur. The diagnosis of bone brucellosis is frequently underestimated. The literature describes that up to 40% of patients have bone involvement at presentation, preferably localized in the sacroiliac joints but rarelly involving long bones. The most sensitive test to evaluate bone involvement of brucellosis is bone scintigraphy and even tissue biopsy maybe negative in more than 50% of cases.
1.Cardiology | 2.Endocrinology | 3.Equipment: Quality Control | 4.Gastroenterology | 5.Infectious Diseases | 6.Nephro-Urology | 7.Oncology | 8.Orthopheadics | 9.PET/SPECT | 10.Pneumology | 11.Radiobiology | 12.Radiopharmacy | 13.Special Clinical Applications | 14.Neuropsychiatry |