A 70-year-old woman was hospitalized with cervical spine osteomyelitis. Despite antibiotic therapy, she remained febrile with an elevated leukocyte count. A bone scan with Tc-99m MDP was performed to search for additional foci of osteomyelitis. Unexpectedly, prominent radiotracer activity was seen in the soft tissues of the abdomen. Peritoneal carcinomatosis, colitis, and intraluminal blood loss were raised as possibilities, and an abdominal computed tomographic scan showed diffuse colonic wall thickening consistent with colitis, and shortly thereafter a stool assay for Clostridium difficile toxin was positive. The patient's antibiotic regimen was altered to treat pseudomembranous colitis.
- Bone Scintigraphy
- Pseudomembranous Colitis
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging