Acute multifocal osteomyelitis: Tc-99m Methylendiphosphanate, Tc-99m HMPAO leucocytes and Tc-99m (V) dimercaptosuccinic acid imaging

Abstract

A 13 years old male was referred to nuclear medicine department for evaluation of suspected acutemultifocal osteomyelitis. The staphylococcal infection was showed by blood culture. We performed Tc- 99mmethylendiphosphanate (MDP) bone scan, Tc-99m HMPAO leukocyte scan and Tc-99m (V) dimercaptosuccinicacid (DMSA) scintigraphy. In this case, we were able to compare the bone and soft tissue uptakes of Tc-99m (V)DMSA with Tc-99m MDP and Tc-99m HMPAO leucocytes uptakes; simultaneously. Tc-99m (V) DMSA uptakewas similar to Tc-99m MDP and Tc-99m HMPAO leucocytes.