Pneumonia can cause 111indium octreotide uptake.
An 18-year-old woman underwent an (111)In octreotide scan for evaluation of a possible insulinoma. This showed mildly increased radiopharmaceutical uptake involving the right lung base. The patient reported a productive cough for 5 days before the octreotide scan. A chest radiograph was taken, which showed increased airspace opacification in the right lower lobe, corresponding to the uptake seen on the octreotide scan. After a course of oral antibiotics, the patient's chest symptoms improved and the radiograph opacification resolved, confirming the diagnosis of community-acquired pneumonia. This case stresses the need to correlate scan results with the patient's presentation and symptoms to avoid false-positive data.
Yenson
T
T
Department of Nuclear Medicine and Ultrasound, Westmead Hospital, Wentworthville, NSW, Australia.
Khalil
T
T
Larcos
G
G
D000293:Adolescent; D017714:Community-Acquired Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000000981:diagnostic imaging; D015282:Octreotide / Q000031:analogs & derivatives* / Q000493:pharmacokinetics; D011014:Pneumonia / Q000000981:diagnostic imaging* / Q000188:drug therapy; D011877:Radionuclide Imaging
C094279:indium-111-octreotide; D015282:Octreotide