Diagnosis of mandibular osteomyelitis in probable coexisting tumor recurrence: Role of Tc-99m ciprofloxacin imaging

Baljinder Singh; Vikas Prasad; Anish Bhattacharya; Ajay K. Singh; Asseem Bhatnagar; Bhagwant Rai Mittal; Kumar Ashok Gupta

doi:10.1097/RLU.0b013e31817e6de9

Diagnosis of mandibular osteomyelitis in probable coexisting tumor recurrence: Role of Tc-99m ciprofloxacin imaging

Baljinder Singh, Vikas Prasad, Anish Bhattacharya, Ajay K. Singh, Asseem Bhatnagar, Bhagwant Rai Mittal, Kumar Ashok Gupta

Division of Nuclear Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

We demonstrate the use of Tc-99m ciprofloxacin imaging in a follow-up case of squamous cell carcinoma of the tongue post hemi-mandibulectomy with clinical suspicion of local recurrence of osteomyelitis. On Tc-99m ciprofloxacin scan, we observed a focus of sharply increasing radiotracer concentration in the left side of the mandible after 24 hours, indicating active bacterial infection. Histopathologic analysis revealed no evidence of local recurrence, whereas the culture examination showed bacterial growth sensitive to ciprofloxacin. A follow-up Tc-99m ciprofloxacin scan after debridement and 8 weeks of antibiotic treatment showed no focus of tracer concentration in the region of the mandible.

Original language	English
Pages (from-to)	525-527
Number of pages	3
Journal	Clinical nuclear medicine
Volume	33
Issue number	8
DOIs	https://doi.org/10.1097/RLU.0b013e31817e6de9
State	Published - Aug 2008

Keywords

Mandibular osteomyelitis
Tc-99m ciprofloxacin imaging
Tongue carcinoma
Tumor recurrence

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10.1097/RLU.0b013e31817e6de9

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title = "Diagnosis of mandibular osteomyelitis in probable coexisting tumor recurrence: Role of Tc-99m ciprofloxacin imaging",

abstract = "We demonstrate the use of Tc-99m ciprofloxacin imaging in a follow-up case of squamous cell carcinoma of the tongue post hemi-mandibulectomy with clinical suspicion of local recurrence of osteomyelitis. On Tc-99m ciprofloxacin scan, we observed a focus of sharply increasing radiotracer concentration in the left side of the mandible after 24 hours, indicating active bacterial infection. Histopathologic analysis revealed no evidence of local recurrence, whereas the culture examination showed bacterial growth sensitive to ciprofloxacin. A follow-up Tc-99m ciprofloxacin scan after debridement and 8 weeks of antibiotic treatment showed no focus of tracer concentration in the region of the mandible.",

keywords = "Mandibular osteomyelitis, Tc-99m ciprofloxacin imaging, Tongue carcinoma, Tumor recurrence",

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AU - Singh, Baljinder

AU - Prasad, Vikas

AU - Bhattacharya, Anish

AU - Singh, Ajay K.

AU - Bhatnagar, Asseem

AU - Mittal, Bhagwant Rai

AU - Gupta, Kumar Ashok

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AB - We demonstrate the use of Tc-99m ciprofloxacin imaging in a follow-up case of squamous cell carcinoma of the tongue post hemi-mandibulectomy with clinical suspicion of local recurrence of osteomyelitis. On Tc-99m ciprofloxacin scan, we observed a focus of sharply increasing radiotracer concentration in the left side of the mandible after 24 hours, indicating active bacterial infection. Histopathologic analysis revealed no evidence of local recurrence, whereas the culture examination showed bacterial growth sensitive to ciprofloxacin. A follow-up Tc-99m ciprofloxacin scan after debridement and 8 weeks of antibiotic treatment showed no focus of tracer concentration in the region of the mandible.

KW - Mandibular osteomyelitis

KW - Tc-99m ciprofloxacin imaging

KW - Tongue carcinoma

KW - Tumor recurrence

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Diagnosis of mandibular osteomyelitis in probable coexisting tumor recurrence: Role of Tc-99m ciprofloxacin imaging

Abstract

Keywords

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