A case of tuberculous peritonitis monitored by gallium-67 scintigraphy.
An 18-year-old man was admitted to our hospital for further examination of fever of unknown origin and ascites. Ga-67 scintigraphy revealed diffuse increased uptake throughout the abdomen. He was diagnosed with tuberculous peritonitis and began the treatment for tuberculosis (rifampicin, 450 mg/day orally and isoniazid, 300 mg/day orally, and 0.75 g of streptomycin by intramuscular injection 2 times a week). One year after starting the treatment, Ga-67 scintigraphy revealed accumulation of radioactivity in the upper abdomen, but the diffuse accumulation in the abdomen decreased. A specimen obtained by tumor biopsy under ultrasonic guidance revealed a tuberculous granuloma. Percutaneous injection was performed in the tumor with 1.0 g of streptomycin. On Ga-67 scintigraphy performed 2 weeks after the injection of streptomycin, the accumulation of radioactivity in the upper abdomen had disappeared. These findings suggest that Ga-67 scintigraphy is useful for diagnosis and observation during treatment of tuberculous peritonitis.
Nishiguchi
S
S
Third Department of Internal Medicine, Osaka City University Medical School, Osaka, Japan.
Shiomi
S
S
Ishizu
H
H
Kurooka
H
H
Iwata
Y
Y
Sasaki
N
N
Tanaka
M
M
Sakaguchi
H
H
Kawabe
J
J
Ochi
H
H
D000293:Adolescent; D005710:Gallium Radioisotopes / Q000493:pharmacokinetics; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D014395:Peritonitis, Tuberculous / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D014018:Tissue Distribution
D005710:Gallium Radioisotopes