Case Author(s): Samuel Wang, M.D. and Keith Fischer, M.D. , 5/18/97 . Rating: #D2, #Q3
Diagnosis: Septic arthritis of the acromioclavicular joint.
Brief history:
53 year old man with left
shoulder pain.
Images:
Delayed 24 hour anterior and posterior whole body images.
View main image(iw) in a separate image viewer
Full history/Diagnosis is available below
Diagnosis: Septic arthritis of the acromioclavicular joint.
Full history:
53 year old man with recent
onset of left shoulder pain. He has advanced
diabetes and a prior history of septic arthritis
of the right shoulder. Bone scintigraphy
performed two days previously demonstrated
non-specific mildly increased activity in the left
shoulder on the immediate and delayed images.
Radiopharmaceutical:
0.5 mCi In-111
label autologous leukocytes i.v.
Findings:
A focus of increased leukocyte
accumulation is identified in the left
acromioclavicular joint most consistent with
pyogenic arthritis.
Followup:
Cultures were positive for
staphylococcus. He also subsequently
developed vertebral osteomyelitis.
ACR Codes and Keywords:
References and General Discussion of Indium -111 WBC Scintigraphy (Anatomic field:Skeletal System, Category:Inflammation,Infection)
Search for similar cases.
Edit this case
Add comments about this case
Return to the Teaching File home page.
Case number: iw006
Copyright by Wash U MO