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.
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