scholarly journals Edwardsiella tardaEndocarditis Confirmed by Indium-111 White Blood Cell Scan: An Unusual Pathogen and Diagnostic Modality

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Kayleigh M. Litton ◽  
Bret A. Rogers
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
Imaging Modality ◽  
Edwardsiella Tarda ◽  
Human Pathogen ◽  
Diagnostic Modality ◽  
Prosthetic Aortic Valve ◽  
Wide Range ◽  
The Family ◽  
Indium 111

Edwardsiella tardais a freshwater marine member of the family Enterobacteriaceae which often colonizes fish, lizards, snakes, and turtles but is an infrequent human pathogen. Indium-111- (111In-) labeled white blood cell (WBC) scintigraphy is an imaging modality which has a wide range of reported sensitivity and specificity (from 60 to 100% and from 68 to 92%, resp.) for diagnosing acute and chronic infection. We describe a case of suspectedE. tardaprosthetic aortic valve and mitral valve endocarditis with probable vegetations and new mitral regurgitation on transthoracic and transesophageal echocardiograms which was supported with the use of111In-labeled WBC scintigraphy.

scholarly journals Clinical Utility of Indium 111–Labeled White Blood Cell Scintigraphy for Evaluation of Suspected Infection

2014 ◽  
Vol 1 (2) ◽  
Author(s):  
Sarah S. Lewis ◽  
Gary M. Cox ◽  
Jason E. Stout
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
Vascular Access ◽  
Clinical Utility ◽  
Imaging Modality ◽  
Unknown Origin ◽  
Annual Number ◽  
Suspected Infection ◽  
Tertiary Referral Center ◽  
Indium 111

Background.  We sought to characterize the clinical utility of indium 111 (111In)–labeled white blood cell (WBC) scans by indication, to identify patient populations who might benefit most from this imaging modality. Methods.  Medical records for all patients who underwent 111In-labeled WBC scans at our tertiary referral center from 2005 to 2011 were reviewed. Scan indication, results, and final diagnosis were assessed independently by 2 infectious disease physicians. Reviewers also categorized the clinical utility of each scan as helpful vs not helpful with diagnosis and/or management according to prespecified criteria. Cases for which clinical utility could not be determined were excluded from the utility assessment. Results.  One hundred thirty-seven scans were included in this analysis; clinical utility could be determined in 132 (96%) cases. The annual number of scans decreased throughout the study period, from 26 in 2005 to 13 in 2011. Forty-one (30%) scans were positive, and 85 (62%) patients were ultimately determined to have an infection. Of the evaluable scans, 63 (48%) scans were deemed clinically useful. Clinical utility varied by scan indication: 111In-labeled WBC scans were more helpful for indications of osteomyelitis (35/50, 70% useful) or vascular access infection (10/15, 67% useful), and less helpful for evaluation of fever of unknown origin (12/35, 34% useful). Conclusions.  111In-labeled WBC scans were useful for patient care less than half of the time at our center. Targeted ordering of these scans for indications in which they have greater utility, such as suspected osteomyelitis and vascular access infections, may optimize test utilization.

INDIUM 111 WHITE BLOOD CELL LIVER SPLEEN SUBTRACTION.

1986 ◽  
Vol 11 (Supplement) ◽  
pp. P24
Author(s):  
Jody D. Woodworth ◽  
Richard J. Petersen
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
Indium 111

“Cold” lesions on indium-111 white blood cell scintigraphy

1992 ◽  
Vol 22 (4) ◽  
pp. 292-294 ◽  
Author(s):  
Ana Maria Mello ◽  
Louis Blake ◽  
I. Ross McDougall
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
White Blood Cell Scintigraphy ◽  
Indium 111

INDIUM-111 LABELED WHITE BLOOD CELL (IN-WBC) IMAGING FOLLOWING POROUS COATED HIP ARTHROPLASTY (PCHA)

1988 ◽  
Vol 13 (5) ◽  
pp. 392
Author(s):  
S G Oswald ◽  
D Van Nostrand ◽  
J J Callaghan ◽  
C G Savory ◽  
S H Abreu
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
Hip Arthroplasty ◽  
Indium 111

Indium 111 white blood cell scanning in the pediatric population

1986 ◽  
Vol 16 (6) ◽  
pp. 493-497 ◽  
Author(s):  
S. L. Williamson ◽  
M. R. Williamson ◽  
J. J. Seibert ◽  
T. Latture ◽  
S. Mart
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
Pediatric Population ◽  
Indium 111

Ultrasonography and indium 111 white blood cell scanning for the detection of intraabdominal abscesses.

Radiology ◽  
1981 ◽  
Vol 140 (1) ◽  
pp. 155-160 ◽  
Author(s):  
B Carroll ◽  
P M Silverman ◽  
D A Goodwin ◽  
I R McDougall
Keyword(s):  
Blood Cell ◽  
White Blood Cell ◽  
Indium 111
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