ROBERT W. STEINER, M.D.; SAM KIPPER, M.D.; MARIA C. SAVOIA, M.D.; KATHRYN F. WITZTUM, M.D.
During peritoneal dialysis, resistant foci of infection along the intra-abdominal course of the two-cuff peritoneal dialysis catheter (so-called "tunnel infections") frequently lead to relapsing or refractory peritonitis (1, 2). These infections can be difficult to identify before surgical catheter removal. Indium-111-labeled leukocyte scanning was done in an attempt to identify such tunnel infections by a noninvasive method.
Patients had images taken of anterior, posterior, and lateral views, using autologous leukocytes labeled with 500 µCi of indium-111-oxine (MediPhysics Radiopharmaceutical, Emeryville, California) (3). Scans were done 24 hours after blood was drawn, and leukocytes were separated, labeled, and reinjected; during the interval
STEINER RW, KIPPER S, SAVOIA MC, WITZTUM KF. Identification of Peritoneal Dialysis Catheter Tunnel Infection by Scanning with Indium-111-Labeled Leukocytes. Ann Intern Med. ;99:44–45. doi: 10.7326/0003-4819-99-1-44
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Published: Ann Intern Med. 1983;99(1):44-45.
Infectious Disease, Nephrology, Renal Replacement Therapy.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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