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Pericarditis Detected by Gallium-67 scintigraphy: A Case Report

鎵-67造影發現心包炎之檢查案例

摘要


A 56-year-old male had history of type 2 diabetes and chronic kidney disease. The patient was brought to our emergency department because of progressive dyspnea. Fever, leukocytosis, and elevated C-reactive protein were noted. Besides, neck mass with swelling and pain was noted and the condition persisted. Gallium-67 (Ga-67) scintigraphy was performed to the patient for fever of unknown origin. The Ga-67 scintigraphy revealed extensive hot gallium uptake in the anterior and left neck extending into upper mediastinum and mild uptake in the mediastinum and surrounding the heart. Diffuse moderate to hot uptake in both kidneys and hot uptake rigth lower abdomen is also noted. The presented case demonstrated an incidental finding of Ga-67 uptake surrounding the heart (pericarditis) on Ga-67 scintigraphy.

並列摘要


某56歲的男性有第二型糖尿病和慢性腎病病史。該名病患由於漸進性呼吸困難被送到急診室,該名患者有發燒、白血球增多和C-反應蛋白升高症狀;同時,頸部腫塊有腫脹和疼痛且病情持續。安排鎵-67造影找出不明原因熱,鎵-67造影影像發現在脖子前側和左側有廣泛及強烈攝取鎵-67且延伸到上縱隔;在縱隔和心臟周圍亦有鎵-67輕度攝取。在兩個腎臟有鎵-67瀰漫性(中至強度)攝取、在右下腹部亦有鎵-67強烈攝取。我們報告在鎵-67造影偶然發現心包炎(在心臟周圍有鎵-67攝取)之案例。

並列關鍵字

心包炎 不明原因熱 鎵-67

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