- 期刊
Discrepancy between Gallium-67 Citrate Scans and Chest X-Rays in Patients with Miliary Tuberculosis
Ga-67 Citrate掃描造影與胸部X光於栗粒狀結核病人的不同表現
摘要
兩位病患因診斷栗粒狀結核病而住院。Ga-67 Citrate掃描造影與胸部X光被用來定位結核病的部位，其中一個病例的胸部X光攝影結果正常但卻發現Ga-67 Ctirate聚集在兩側肺野，另一個病例的胸部X光出現兩側肺野瀰漫性間質浸潤（interstitial infiltra-tion），然而Ga-67 Citrate掃描造影卻未發現任何異常。為了早期診斷及避免遺漏，我們建議懷疑栗粒狀結核之病人應同時接受Ga-67 Citrate掃描造影與胸部X光檢查。
關鍵字
無資料並列摘要
Two patients were admitted to our hospital with a diagnosis of miliary tuberculosis (TB). Gaffium-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.
延伸閱讀
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