Nuclear Medicine & Radiation Therapy

Shanmuga Sundaram Palaniswamy

Publications

• Research Article
  ^99mTc MDP and ⁶⁷Gallium Dual Isotope Imaging in the Evaluation of Sternal Osteomyelitis and Wound Dehiscence
  Author(s): Shanmuga Sundaram Palaniswamy and Padma SubramanyamShanmuga Sundaram Palaniswamy and Padma Subramanyam
  
  Sternal infections are a major cause of morbidity and mortality in patients undergoing cardiac surgery. They occur in 1% to 3% of patients who undergo open-heart surgery and carry a moderately high mortality rate. Sternal infections can range from minor, superficial infections to open mediastinitis with invasion of the sternum, heart, and great vessels. Infection can lead to partial or complete separation of bony sternum thus compounding the problem. Identifying osteomyelitis (OM) is a challenge to the surgeons especially in the postoperative setting. Although clinically presence of fever and leukocytosis along with sternal wound dehiscence suggests deep infection. Localization and ascertaining the extent of sternal infection is difficult. Treatment entails surgical debridement with closed irrigation, open-wound packing, or muscle or omental flap procedures, as well as antibiotic ther.. Read More»
  DOI: 10.4172/2155-9619.1000266

  Abstract PDF