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M9460738.TXT
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1994-06-25
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Document 0738
DOCN M9460738
TI Gallium-67 scintigraphy in an AIDS patients presenting tuberculous
pericarditis.
DT 9408
AU Bertolaccini P; Chimenti M; Bianchi S; Manfredini G; Barattini G;
Maneschi A; Nuclear Medicine Service, General Hospital Ss. Giacomo e;
Cristoforo, Massa, Italy.
SO J Nucl Biol Med. 1993 Dec;37(4):245-8. Unique Identifier : AIDSLINE
MED/94227131
AB The case of a 31-year-old HIV-positive male drug addict, with a history
of recurrent intermittent fever is presented. Chest x-ray showed right
ilar-node enlargement and moderate venous congestion. A 67Ga-citrate
scan of the chest was highly suggestive of Mycobacterial infection.
Scans showed right supraclavicular, right costophrenic, hilar node,
pericardial and low grade pulmonary tracer uptake. Therapy with
streptomycin, ethambutol, isoniazid and pyrazinamide was started. After
8 weeks, a chest roentgenogram was normal and 67Ga-citrate scintigraphy
showed only right hilar node tracer uptake. Biopsy specimen cultures
then confirmed the diagnosis of Mycobacterium tuberculosis infection.
This case is interesting because of (1) the uncommon pericardial tracer
uptake, and (2) because it confirms the usefulness of 67Ga-citrate scan
for the early diagnosis of Mycobacterial infection.
DE Adult AIDS-Related Opportunistic Infections/DRUG THERAPY/*RADIONUCLIDE
IMAGING Case Report Gallium Radioisotopes Human Male
Pericarditis/DRUG THERAPY/*RADIONUCLIDE IMAGING Tuberculosis,
Pulmonary/DRUG THERAPY/*RADIONUCLIDE IMAGING JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).