Abstract
A bone scan with 99mTc MDP was obtained to rule out the presence of micro fractures in a patient with the diagnosis of idiopathic osteoporosis. There was not any sign of micro fractures, but interestingly, both kidneys were diffusely very active. A differential diagnosis of acute kidney injury secondary to the use of nonsteroidal anti-inflammatory drug was made and reported after elimination of other clinical situations. The renal functions obtained following bone scan were impaired. The anti-inflammatory drug was discontinued. The renal functions were recovered starting with the following day.Conflict of interest:None declared.
Highlights
Bone scintigraphy is one of the frequently used imaging tests in nuclear medicine. It is applied as a screening test for some oncologic and non-oncologic diseases. In this case report we present a patient with non-steroidal antiinflammatory drug (NSAID) induced acute kidney injury which was diagnosed by bone scintigraphy
A 50 year old male with the diagnosis of idiopathic osteoporosis was experiencing pain especially in the thoracolumbar area. He was taking NSAIDs for pain relief for the last few months. He was referred for bone scintigraphy upon exacerbation of his symptoms to rule out the possible micro fractures
The incidence of diffuse renal uptake on bone scintigraphy was reported to be less than 1 % [1]
Summary
99mTc MDP Kemik Sintigrafisi ile Tanı Alan NSAII Kullanımına Sekonder Akut Böbrek Hasarlanması Olan Bir Hasta.
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