Fernandez-Ulloa M, Vasavada P J, Hanslits M L, Volarich D T, Elgazzar A H
Orthopedics. 1985 Sep;8(9):1144-50. doi: 10.3928/0147-7447-19850901-12.
Incidence of non-tuberculous vertebral osteomyelitis has been increasing significantly over the past 15 years. Its prompt diagnosis remains difficult. Presented here are five cases of vertebral osteomyelitis studied clinically, with laboratory studies, radiographically, and with Tc-99m bone and In-111 labeled white blood cells (In-111 WBC) scintigrams. Three of the cases are described in detail. The In-111 WBC studies were not found useful in detecting the infection in four out of the five patients. Reasons for these false negative results are discussed. Clinical, etiopathogenic and radiographic characteristics of vertebral osteomyelitis are also presented.
在过去15年中，非结核性椎体骨髓炎的发病率显著上升。其早期诊断仍然困难。本文介绍了5例经临床、实验室检查、影像学检查以及锝-99m骨显像和铟-111标记白细胞（In-111 WBC）闪烁扫描研究的椎体骨髓炎病例。其中3例进行了详细描述。在5例患者中，有4例的In-111 WBC检查未发现对感染有诊断价值。讨论了这些假阴性结果的原因。还介绍了椎体骨髓炎的临床、病因和影像学特征。
