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Volume 18, Number 5, 2013

Radiotherapy and technetium-99m-labeled red blood cell cintigraphy for hemoptysis from chronic MRSA infection

Carminia Lapuz, Sandeep K. Gupta, Elizabeth A. Bennett, Colin I. Tang


Aim: To discuss the application of external beam radiotherapy (EBRT) and technetium-
99m-labeled red blood cell scintigraphy (LRBCS) in life-threatening hemoptysis from a
non-malignant condition.
Materials and methods: This case report presents a patient with persistent hemoptysis secondary to chronic Methicillin-resistant Staphylococcus aureus (MRSA) infection in whom
conventional management failed to localize the site of pulmonary bleeding or to provide
effective therapy.
Results: EBRT was successfully given for life-threatening hemoptysis with improvement in
quality of life for nearly 1 year. LRBCS was used to localize the source of further bleeding
and facilitate targeted therapy.
Conclusion: EBRT can be an effective and well-tolerated modality in treating life-threatening
hemoptysis refractory to conventional methods. LRBCS is a non-invasive diagnostic tool that
can be used to detect the source of pulmonary bleeding.

Signature: Rep Pract Oncol Radiother, 2013; 18(5) : 316-318

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