Identification of Peritoneal Dialysis Catheter Tunnel Infection by Scanning with Indium-111-Labeled Leukocytes
Authors: ROBERT W. STEINER
Journal: Annals of Internal Medicine (1983)

Brief Reports1 July 1983Identification of Peritoneal Dialysis Catheter Tunnel Infection by Scanning with Indium-111-Labeled LeukocytesROBERT W. STEINER, M.D., SAM KIPPER, M.D., MARIA C. SAVOIA, M.D., KATHRYN F. WITZTUM, M.D.ROBERT W. STEINER, M.D.Search for more papers by this author, SAM KIPPER, M.D.Search for more papers by this author, MARIA C. SAVOIA, M.D.Search for more papers by this author, KATHRYN F. WITZTUM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-99-1-44 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring 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...References1. VAS S. What are the indications for removal of the permanent peritoneal dialysis catheter? Peritoneal Dial Bull. 1981;1:145-6. CrossrefGoogle Scholar2. NOLPHPROWANTSORKINGLOOR KBMH. The incidence and characteristics of peritonitis in the fourth year of a CAPD program. Peritoneal Dial Bull. 1981;1:50-3. CrossrefGoogle Scholar3. MCDOUGALLBAUMERTLONTIORI IJR. Evaluation of 111In leukocyte whole body scanning. AJR. 1979;133:849-54. CrossrefMedlineGoogle Scholar4. VAS S. Peritonitis during CAPD: a mixed bag. Peritoneal Dial Bull. 1981;1:47-9. CrossrefGoogle Scholar5. MARICHALFALLER JB. Persistent peritonitis in CAPD [Letter]. Nephron. 1980;26:55. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: University Hospital University of California at San Diego San Diego San Diego Veterans Administration Medical Center La Jolla, California PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByDiagnóstico por imagen en diálisis peritonealDiagnóstico de las complicaciones infecciosas de la diálisis peritoneal continua ambulatoria mediante leucocitos marcados con 99mTc-HMPAOINFECTIONS IN PATIENTS UNDERGOING PERITONEAL DIALYSISThe Diagnosis of Peritonitis in Patients on Continuous Ambulatory Peritoneal DialysisPeritonitisInfections of Continuous Ambulatory Peritoneal Dialysis CathetersThe Permanent Tenckhoff CathetersPeritonitisThe Use of Intracatheter Instillation of Streptokinase in the Treatment of Recurrent Bacterial Peritonitis in Continuous Ambulatory Peritoneal DialysisThe value of indium-labelled leucocytes in clinical practicePeritonitisContinuous ambulatory peritoneal dialysisDiagnosis, Prevention and Treatment of Peritonitis 1 July 1983Volume 99, Issue 1Page: 44-45KeywordsBloodCathetersPeritoneal dialysisPeritonitis Issue Published: 1 July 1983 PDF DownloadLoading ...