Hookey Glen, Ahmad Qamar, McCune Thomas, Kowalewska Jolanta, Amaker Barbara, Inayat Nadeem
EVMS Critical Care Medicine, Sentara Norfolk General Hospital, 600 Gresham Drive Norfolk VA 23507, USA.
Radiol Case Rep. 2021 Aug;16(8):2123-2128. doi: 10.1016/j.radcr.2021.05.019. Epub 2021 May 14.
Coronavirus disease 2019 (COVID-19), initially appreciated as a respiratory illness, is now known to affect many organs in the human body. Significant data has become available on muscle involvement, with creatinine kinase elevations present in a significant percentage of patients. For those with suspected COVID-19-associated myositis, the imaging modality of choice has been gadolinium-enhanced magnetic resonance imaging; however, the use of technitium-99 m bone scan has not been previously reported. Here, we report two cases of COVID-19 patients with severe elevation in creatinine kinase who underwent technitium-99 m bone scan. The resulting images showed diffuse symmetrical muscle involvement. Both patients developed acute renal injury due to rhabdomyolysis. To our knowledge, this is the first report of bone scan as a diagnostic imaging modality for COVID-19-associated myositis.
2019冠状病毒病（COVID-19）最初被认为是一种呼吸系统疾病，现在已知会影响人体的许多器官。关于肌肉受累已有大量数据，相当比例的患者存在肌酸激酶升高。对于疑似COVID-19相关肌炎的患者，首选的成像方式是钆增强磁共振成像；然而，此前尚未有关于使用锝-99 m骨扫描的报道。在此，我们报告两例COVID-19患者，其肌酸激酶严重升高并接受了锝-99 m骨扫描。结果图像显示弥漫性对称性肌肉受累。两名患者均因横纹肌溶解症发生急性肾损伤。据我们所知，这是关于骨扫描作为COVID-19相关肌炎诊断成像方式的首例报告。
