The Effect of Antiseptic on 99mTc-DMSA Scans

Clin Nucl Med. 2017 Mar;42(3):237-238. doi: 10.1097/RLU.0000000000001531.

Abstract

Approximately 30 years ago, it has been suggested that chlorhexidine, which is used as antiseptic, can produce Tc colloid complex during Tc-dimercaptosuccinic acid (DMSA) preparation. However, in all cases of liver and spleen uptake in Tc-DMSA scan, it should still be kept in mind because of the introduction of new antiseptic brands with different formulation under various names. Our case is just a sample of this effect, which resulted from application of a new brand of antiseptic by technologists in our center that unintentionally led to low-quality Tc-DMSA scans for a period, and after restrict control of all other confounding factors in the preparation of kit, it was just resolved by changing antiseptic to ethanol.

Publication types

  • Case Reports

MeSH terms

  • Anti-Infective Agents, Local / adverse effects*
  • Chlorhexidine / adverse effects*
  • Female
  • Humans
  • Infant
  • Positron-Emission Tomography / methods*
  • Radiopharmaceuticals*
  • Technetium Tc 99m Dimercaptosuccinic Acid*

Substances

  • Anti-Infective Agents, Local
  • Radiopharmaceuticals
  • Technetium Tc 99m Dimercaptosuccinic Acid
  • Chlorhexidine