Bone and Gallium Scintigraphies in Rhabdomyolysis: A Case Report

全身骨骼掃描及鎵全身掃描在橫紋肌溶解症的病例報告

陳朝榮(Chao-Jung Chen) ； 邱南津(Nan-Tsing Chiu) ； 姚維仁(Wei-Jen Yao) ； 李碧芳(Bi-Fang Lee) ； 吳佩珊(Pei-Shan Wu)

《核子醫學雜誌》 21卷4期 (2008/12) Pp. 231-235

https://doi.org/10.6332/ANMS.2104.006

摘要

我們提出一個71歲的病人在家裡突然意識不清，爲搜尋感染病灶而進行鎵－67-檸檬酸全身婦描，結果在肩膀、手臂、軀幹及大腿的肌肉有強烈攝取，因而診斷爲橫紋肌溶解症。此診斷與實驗室檢查血中明顯上升的肌酸激酶相符合。5天後的鎝-99m-MDP全身骨骼掃描也顯示在相同的肌肉有強烈的攝取。離第一次錄全身掃描二個半月以後，另一次的鎵全身掃描呈現原先的肌肉攝取已經完全緩解。基於此案例，全身骨骼掃描及錄全身掃描在橫紋肌溶解症的診斷、評估全身影響範圍及追蹤是有幫助的。

關鍵字

橫紋肌溶解症 ； 全身骨骼掃描 ； 鎵全身掃描

並列摘要

We present the case of a 71-year-old man experiencing sudden onset of conscious disturbance at home. 67Gagallium citrate scintigraphy was performed to find infectious foci. It showed intense gallium uptake in the muscles of bilateral shoulders, arms, thighs, and the trunk, indicating rhabdomyolysis. The diagnosis was compatible with the laboratory data of a remarkable increase in serum creatine kinase. Five days later, a (superscript 99m)Tc-MDP bone scan also showed intense uptake in the same muscle groups. Two and a half months after the first gallium scan, an additional gallium scan obtained for the detection of fever of unknown origin revealed complete resolution of the previous muscle lesions. According to the case, bone and gallium scintigraphies are not only valuable for an early diagnosis with a thorough evaluation of muscle injury in the whole body but also useful in the follow-up of rhabdomyolysis.

並列關鍵字

rhabdomyolysis ； bone scintigraphy ； gallium scintigraphy