Ga-67 Scan With SPECT/CT Showed Generalized Hidradenitis Suppurativa

鎵-67掃描合併SPECT/CT顯示泛發性化膿性汗腺炎

莊紫翎(Tzyy-Ling Chuang) ； 許宏達(Honda Hsu) ； 林俊宏(Chun-Hung Lin) ； 王昱豐(Yuh-Feng Wang)

《核子醫學暨分子影像雜誌》 34卷1期 (2021/03) Pp. 26-30

https://doi.org/10.6332/ANMMI.202103_34(1).0004

摘要

A 42-year-old male had fever and body aches for one day. Physical examination showed hidradenitis suppurativa (HS) over buttock for years, with right buttock redness noted. The laboratory data showed leukocytosis with elevated C-reactive protein. Debridement of right buttock HS showed acute inflammation with abscess formation. For infection survey, Ga-67 scan with single photon emission tomography/computed tomography, arranged after inflammatory markers were unresolved after antibiotics, showed generalized HS involving right posterior neck, right axilla, right medial thigh, bilateral buttock, and left groin. Except HS, no other gallium-avid infectious or inflammatory lesions shown on Ga-67 scan. Debridement of right thigh and left inguinal regions with culture showed HS with Prevotella disiens and Prevotella bivia growth.

關鍵字

Ga-67 scan ； hidradenitis suppurativa ； SPECT/CT

並列摘要

一名42歲的男性有一天發燒和身體疼痛。理學檢查顯示臀部多年來有化膿性汗腺炎（hidradenitis suppurativa），並發現右側臀部發紅。實驗室數據顯示白血球增多和C-反應蛋白升高。右臀部化膿性汗腺炎進行清創，病理顯示急性發炎並形成膿瘍。抗生素治療後炎症標誌物仍未緩解，於是安排鎵-67掃描合併單光子電腦斷層（single photon emission tomography）／電腦斷層造影（computed tomography）進行感染調查，結果顯示泛發性化膿性汗腺炎，侵犯右後頸、右腋窩、右大腿內側、雙側臀部和左腹股溝。除了泛發性化膿性汗腺炎，鎵-67掃描無其他感染或發炎顯影病灶。右大腿和左腹股溝區域的清創手術和細菌培養，顯示有化膿性汗腺炎，伴有解糖腖普雷沃菌（Prevotella disiens）和二路普雷沃爾菌（Prevotella bivia）生長。

並列關鍵字

鎵-67掃描 ； 化膿性汗腺炎 ； 單光子電腦斷層／電腦斷層造影