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Necrotizing Tracheobronchitis Identified on an Indium-111-White Blood Cell Scan

Nuclear Medicine Department, St. Luke's Medical Center, Milwaukee, Wisconsin

Correspondence: For reprints contact: Shobha P. Desai, MD, Resident, Nuclear Medicine Department, P.O. Box 2901, Milwaukee, WI 53201-2901.

ABSTRACT

The clinical entity of necrotizing tracheobronchitis (NTB) is well described in the pediatric literature (1–4). The incidence of NTB in neonatal autopsies varies from 4% to 44%. More than 3 hr of assisted ventilation may be necessary for the development of NTB in neonates (1). A similar clinical problem was described as "hemorrhagic tracheitis" in two adults during high frequency jet ventilation and as a complication of conventional mechanical ventilation in an adult. We present here a rather unusual case of NTB in an adult on mechanical ventilation, in whom tracheobronchitis was diagnosed incidentally with an ¹¹¹In white blood cell scan obtained for other purposes.