Use of Bone Scan in Management of Patients with Peripheral Gangrene Due to Fulminant Meningococcemia
Technetium bone scintigraphy was performed in four patients with fulminant meningococcemia and extensive peripheral gangrene. The bone scans showed variable levels of absent uptake in all extremities of the four patients who subsequently required quadrimembral amputations. In 13 limbs, the level of...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 1993-07, Vol.13 (4), p.447-451 |
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| container_end_page | 451 |
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| container_issue | 4 |
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| container_title | Journal of pediatric orthopaedics |
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| creator | Hamdy, Reggie C Babyn, Paul S Krajbich, J Ivan |
| description | Technetium bone scintigraphy was performed in four patients with fulminant meningococcemia and extensive peripheral gangrene. The bone scans showed variable levels of absent uptake in all extremities of the four patients who subsequently required quadrimembral amputations. In 13 limbs, the level of amputation was determined primarily by the bone scan findings, and operation was successful in 84% of those limbs. These findings suggest that bone scanning is a useful adjunct in differentiating viable from nonviable tissues in patients with extensive peripheral gangrene secondary to fulminant meningococcemia and thus helps determine the appropriate level of amputation in such patients. |
| doi_str_mv | 10.1097/01241398-199307000-00006 |
| format | Article |
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The bone scans showed variable levels of absent uptake in all extremities of the four patients who subsequently required quadrimembral amputations. In 13 limbs, the level of amputation was determined primarily by the bone scan findings, and operation was successful in 84% of those limbs. 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The bone scans showed variable levels of absent uptake in all extremities of the four patients who subsequently required quadrimembral amputations. In 13 limbs, the level of amputation was determined primarily by the bone scan findings, and operation was successful in 84% of those limbs. These findings suggest that bone scanning is a useful adjunct in differentiating viable from nonviable tissues in patients with extensive peripheral gangrene secondary to fulminant meningococcemia and thus helps determine the appropriate level of amputation in such patients.</description><subject>Amputation</subject><subject>Arm - blood supply</subject><subject>Bacterial diseases</subject><subject>Bacterial sepsis</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Disseminated Intravascular Coagulation - diagnostic imaging</subject><subject>Disseminated Intravascular Coagulation - surgery</subject><subject>Female</subject><subject>Gangrene</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Ischemia - diagnostic imaging</subject><subject>Ischemia - surgery</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Meningococcal Infections - diagnostic imaging</subject><subject>Meningococcal Infections - surgery</subject><subject>Radionuclide Imaging</subject><subject>Sepsis - diagnostic imaging</subject><subject>Sepsis - surgery</subject><subject>Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><subject>Tissue Survival - physiology</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kdFuFCEUhkljU9faRzDhwng3ehhgGC61tdWkjU2014TCmV2UYVaYyaZvL3XXvfOCQPJ_Pyf5DiGUwXsGWn0A1grGdd8wrTkoAGjqge6ErJjkummlghdkBa1iTad0_5K8KuUnAFNc8DNy1nMFSvUr4h8K0mmgn6aE9LuziYZE72yyaxwxzc_RvZ1DfRa6C_OG3mMO2w1mG-mNTeuMtXe1IJ0ner3EMSRbW3eYQlpPbnIOx2Bfk9PBxoIXh_ucPFx__nH5pbn9dvP18uNt43gvuqbjrhOt8KAH9LJrJYDTg3cgpdeiU4_MOeYHi4yzQXKllNYgW-a17bW3gp-Td_t_t3n6vWCZzRiKwxhtwmkpRkktmexVBfs96PJUSsbBbHMYbX4yDMyzYPNPsDkKNn8F1-qbw4zlcUR_LB6M1vztIbfF2Thkm1woR0youg4FFRN7bDfFGXP5FZcdZrNBG-eN-d96-R80DJHM</recordid><startdate>199307</startdate><enddate>199307</enddate><creator>Hamdy, Reggie C</creator><creator>Babyn, Paul S</creator><creator>Krajbich, J Ivan</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199307</creationdate><title>Use of Bone Scan in Management of Patients with Peripheral Gangrene Due to Fulminant Meningococcemia</title><author>Hamdy, Reggie C ; Babyn, Paul S ; Krajbich, J Ivan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3846-63c6424d09fed562500c9fdc055d9467b1cc1dfae131f53777990521d9a89da43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Amputation</topic><topic>Arm - blood supply</topic><topic>Bacterial diseases</topic><topic>Bacterial sepsis</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Disseminated Intravascular Coagulation - diagnostic imaging</topic><topic>Disseminated Intravascular Coagulation - surgery</topic><topic>Female</topic><topic>Gangrene</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Ischemia - diagnostic imaging</topic><topic>Ischemia - surgery</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Meningococcal Infections - diagnostic imaging</topic><topic>Meningococcal Infections - surgery</topic><topic>Radionuclide Imaging</topic><topic>Sepsis - diagnostic imaging</topic><topic>Sepsis - surgery</topic><topic>Staphylococcal infections, streptococcal infections, pneumococcal infections</topic><topic>Tissue Survival - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamdy, Reggie C</creatorcontrib><creatorcontrib>Babyn, Paul S</creatorcontrib><creatorcontrib>Krajbich, J Ivan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamdy, Reggie C</au><au>Babyn, Paul S</au><au>Krajbich, J Ivan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Bone Scan in Management of Patients with Peripheral Gangrene Due to Fulminant Meningococcemia</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1993-07</date><risdate>1993</risdate><volume>13</volume><issue>4</issue><spage>447</spage><epage>451</epage><pages>447-451</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>Technetium bone scintigraphy was performed in four patients with fulminant meningococcemia and extensive peripheral gangrene. The bone scans showed variable levels of absent uptake in all extremities of the four patients who subsequently required quadrimembral amputations. In 13 limbs, the level of amputation was determined primarily by the bone scan findings, and operation was successful in 84% of those limbs. These findings suggest that bone scanning is a useful adjunct in differentiating viable from nonviable tissues in patients with extensive peripheral gangrene secondary to fulminant meningococcemia and thus helps determine the appropriate level of amputation in such patients.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8370778</pmid><doi>10.1097/01241398-199307000-00006</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of pediatric orthopaedics, 1993-07, Vol.13 (4), p.447-451 |
| issn | 0271-6798 1539-2570 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Amputation Arm - blood supply Bacterial diseases Bacterial sepsis Biological and medical sciences Child Disseminated Intravascular Coagulation - diagnostic imaging Disseminated Intravascular Coagulation - surgery Female Gangrene Human bacterial diseases Humans Infant Infectious diseases Ischemia - diagnostic imaging Ischemia - surgery Leg - blood supply Male Medical sciences Meningococcal Infections - diagnostic imaging Meningococcal Infections - surgery Radionuclide Imaging Sepsis - diagnostic imaging Sepsis - surgery Staphylococcal infections, streptococcal infections, pneumococcal infections Tissue Survival - physiology |
| title | Use of Bone Scan in Management of Patients with Peripheral Gangrene Due to Fulminant Meningococcemia |
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