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Pseudomonas Sacroiliac Osteomyelitis: Diagnosis by Gallium Citrate Ga 67 Scan

THOMAS L. POPE JR, MD; WILLIAM G. TEAGUE JR, MD; ROBERT KOSSACK, MD; STUART T. BRAY, MD; DAVID B. FLANNERY, MD
Am J Dis Child. 1982;136(7):649-650. doi:10.1001/archpedi.1982.03970430081028.
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Osteomyelitis of the sacroiliac joint is an uncommon pediatric infection. Technetium Tc 99m medronate scanning has been advocated as a sensitive diagnostic test. We present a case of Pseudomonas putrefaciens sacroiliac osteomyelitis that was not demonstrable using this technique but was detected by a gallium citrate Ga 67 scan.

Report of a Case.—A 17-year-old Greek girl with thalassemia major had been receiving nightly subcutaneous deferoxamine mesylate infusions. Since splenectomy at the age of 10, she had taken daily prophylactic penicillin G potassium.

She was admitted to the hospital with a two-day history of fever, chills, nausea, vomiting, and pain in the lower part of the back. Results of a physical examination were normal, as was a complete blood cell count. Results of urinalysis were normal and a chest roentgenogram showed no infiltrates. Blood cultures were obtained. She became afebrile by the next morning and because a nonproductive cough had

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