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Skeletal scintigraphy in miliary tuberculosis: photopenia after treatment

Journal Article · · AJR, Am. J. Roentgenol.; (United States)
A case of miliary tuberculosis mimicking metastatic disease on bone scan is presented. The patient, a 35-year-old man, was hospitalized with fever, chills, hemoptysis, and a 23 kg weight loss over the previous 7 months. Chest radiographs revealed an apical infiltrate. Technetium-99m methylene diphosphonate bone scan revealed increased uptake not only in the lumbar spine but also in the ribs, thoracic spine and shoulder girdle, areas of which were asymptomatic. The bone scan was found to be useful in the evaluation of therapy in osseous tuberculosis. With antituberculosis therapy the bone scan abnormality generally returns to normal in 3 to 6 months, and it seems that bone scanning may play an important role in detection of unsuspected bone involvement and follow-up of patients with osseous tuberculosis.
Research Organization:
Indiana Univ., Indianapolis
OSTI ID:
5822327
Journal Information:
AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 137:4; ISSN AAJRD
Country of Publication:
United States
Language:
English