Tc-99m-labeled leukocyte and skeletal scintigraphy in a case of pelvic osteomyelitis

G. R. Storey*, W. Bruce, M. Kinchington, J. S. Magnussen, K. C. Allman, H. Van Der Wall

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Osteomyelitis in red marrow-containing regions of the axial skeleton may produce photopenic defects on radiolabeled leukocyte scintigraphy. A 47- year-old man underwent elective penile reconstructive surgery. The postoperative course was complicated by wound infection, and the patient reported progressive anterior pelvic pain despite antibiotic therapy. A Tc- 99m MDP bone scan revealed focal hyperemia and increased tracer uptake in the body of the pubis and pubic crest bilaterally, suspicious for regional osteomyelitis. A Tc-99m stannous colloid-labeled leukocyte study performed subsequently showed absent white cell accumulation in the corresponding area, with a normal pattern of distribution elsewhere in the skeleton. Bone biopsy from the pubic symphysis demonstrated a neutrophilic cellular infiltrate and granulation tissue consistent with active bony infection.

Original languageEnglish
Pages (from-to)717-719
Number of pages3
JournalClinical nuclear medicine
Issue number10
Publication statusPublished - 1998
Externally publishedYes


  • Leukocyte
  • Osteomyelitis
  • Scintigraphy


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