Discrepancy between gallium-67 citrate scans and chest X-rays in patients with miliary tuberculosis.
Two patients were admitted to our hospital with a diagnosis of miliary tuberculosis (TB). Gallium-67 citrate (Ga) scans and chest X-rays were used to localize the TB lesions. One case showed normal chest X-ray with significant gallium uptake in the lung while the other showed diffuse interstitial infiltrations of both lungs in chest X-ray with negative result in gallium scan. We suggest that the combination of Ga scans and chest X-rays might be indicated to avoid the discrepancy between the two images and missing early diagnosis of miliary TB.
Lin
W Y
WY
Department of Nuclear Medicine, Taichung Veterans General Hospital, Taiwan, Republic of China.
Kao
C H
CH
Hsu
C Y
CY
Liao
S Q
SQ
Wang
S J
SJ
D000328:Adult; D002951:Citrates; D019343:Citric Acid; D005710:Gallium Radioisotopes; D006801:Humans; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D011877:Radionuclide Imaging; D014391:Tuberculosis, Miliary / Q000000981:diagnostic imaging*
D002951:Citrates; D005710:Gallium Radioisotopes; D019343:Citric Acid