Discrepancy between Ga-67 citrate and F-18 fluorodeoxyglucose positron emission tomographic scans in pulmonary infection. NLM AIDSLINE Important note: Information in this article was accurate in 2000. The state of the art may have changed since the publication date.

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Discrepancy between Ga-67 citrate and F-18 fluorodeoxyglucose positron emission tomographic scans in pulmonary infection.

Clin Nucl Med. 2000 Jun;25(6):490-1. Unique Identifier : AIDSLINE MED/20294699
Goswami GK; Jana S; Santiago JF; Buyukdereli G; Salem SS; Heiba S; Abdel-Dayem HM; Department of Radiology, Saint Vincents Hospital, New York; Medical College, Valhalla 10011, USA.


Abstract: The authors describe a patient with the acquired immunodeficiency syndrome who had active pulmonary tuberculosis and was receiving anti-tuberculosis treatment. High-grade fever and a right-sided pleural effusion had recently developed. Results of a Ga-67 scan were negative for any focal infection in the chest. Fluorine-18 fluorodeoxyglucose positron emission tomography showed increased uptake in the right lower lung field, which correlated with the diagnosis of concomitant bacterial pneumonia. Anti-tuberculosis treatment can decrease the sensitivity of the Ga-67 scan and could have contributed to this discrepancy. The authors predict that the fluorine-18 fluorodeoxyglucose positron emission tomographic scan will play an important diagnostic role in the management of such a selected group of patients.


Keywords: JOURNAL ARTICLE Antitubercular Agents/THERAPEUTIC USE AIDS-Related Opportunistic Infections/DRUG THERAPY/*RADIONUCLIDE IMAGING Case Report Citrates/*DIAGNOSTIC USE Fludeoxyglucose F 18/*DIAGNOSTIC USE Gallium/*DIAGNOSTIC USE Gallium Radioisotopes/*DIAGNOSTIC USE Human Male Middle Age Pleural Effusion/RADIONUCLIDE IMAGING Pneumonia, Bacterial/*RADIONUCLIDE IMAGING Radiopharmaceuticals/*DIAGNOSTIC USE *Tomography, Emission-Computed Tuberculosis, Pulmonary/DRUG THERAPY

KWDjournalarticleantitubercularagents/therapeuticuseaids-relatedopportunisticinfections/drugtherapy/KWDradionuclideimagingcasereportcitrates/KWDdiagnosticusefludeoxyglucosef18/KWDdiagnosticusegallium/KWDdiagnosticusegalliumradioisotopes/KWDdiagnosticusehumanmalemiddleagepleuraleffusion/radionuclideimagingpneumonia,bacterial/KWDradionuclideimagingradiopharmaceuticals/KWDdiagnosticuseKWDtomography,emission-computedtuberculosis,pulmonary/drugtherapy
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