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題 名 | Ceftriaxone-Associated Colitis Detected by [fee6]Tc(V)-DMSA: A Case Report=鎝-99m(V)-DMSA閃爍攝影於Ceftriaxone相關的腸炎之診斷:一病例報告 |
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作 者 | 李碧芳; 邱南津; 蔡季君; 蔡坤寶; 劉金昌; 余幸司; | 書刊名 | 核子醫學雜誌 |
卷 期 | 14:2 2001.06[民90.06] |
頁 次 | 頁129-133 |
分類號 | 415.556 |
關鍵詞 | 鎝-99m(V)-DMSA; 腸炎; [fee6]Tc(V)-DMSA; Ceftriaxone; Colitis; |
語 文 | 英文(English) |
中文摘要 | 一位61歲女性病患,主訴發燒,以及於服用治療右側腰部囊腫的抗生素(ceftriaxone)二天後出現腹痛及腹瀉。理學檢查顯示瀰漫性腹痛及腸音正常。實驗室檢查顯示Hb為11.0g/dl,周邊血液白血球為8470/mm3。尿液檢查沒有蛋白尿。病人被安排鎝-99m(V)-DMSA閃爍攝影檢查,由靜脈注射鎝-99m(V)-DMSA,再以加馬攝影機各於注射後2小時收集全身及腹部造影影像,結果顯示左側結腸部位有非常明顯的放射活性累積,表示左側結腸部位為發炎病灶;至於右側腰部囊腫部位則無放射活性增加、腹部X光電腦斷層檢查顯示於降結腸處的腹膜變厚。腹部X光鋇劑檢查於腸道無任何充填缺損。大腸鏡發現左側結腸部位有瀰漫性發炎,但無偽膜(pseudomembrane)。活體切片檢查顯示結腸黏膜上覆蓋有纖維化膿性摻出液。患者於停藥後,24小時之內發燒消失,四天後不再腹瀉。根據文獻及此病例之經驗,我們認為鎝-99m(V)-DMSA閃爍攝影檢查為臨床上診斷ccftriaxone相關腸炎的有用工具。 |
英文摘要 | A 61-year-old female presented with crampy abdominal pain and bloody diarrhea. She had been prescribed cef-triaxone sodium (0.5 gm twice a day) for soft tissue abscess over the right flank two days before the start of her symptoms. Abdominal examinations revealed dif-fuse tenderness in the abdomen with normal bowel sounds. Hb was 11.0 g/dl and white blood cell was 8470/mm3. A 99mTc (V)-DMSA abdominal scan was per-formed with a gamma camera (Vertex, ADAC, USA) at 2 h following intravenous administration of 20 mCi (760 MBq) of 99mTc (V)-DMSA. Increased radioactivity in the transverse colon and descending colon was seen; there was no obvious abnormal radiotracer uptake over the right flank. Abdominal computed tomography (CT) showed increased soft tissue strands by the side of the splenic flexure and a thick parietal peritoneum by the side of the descending colon. A barium enema of the colon exhibited no stenotic lesion throughout the rectal and colonic loop and no abnormal filling defect. Colonoscopy showed diffuse inflammatory change with swelling, hyperemia, and ulceration over the descending colon. Colonoscopy failed to reveal a pseudomem-brane. A colonic biopsy revealed that the superficial mucosa was covered by fibrinopurlent exudate, cellular debris, and mucosa deposits. After withdrawal of antibiotics, fever subsided within 24 h and the bowel symptoms settled completely within 4 days. This case illustrates the utility of 99mTc (V)-DMSA for detecting active bowel disease in a debilitated patient with ceftriaxone-associated colitis. |
本系統中英文摘要資訊取自各篇刊載內容。