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Diagnostic value of gallium and bone scans in evaluation of extrapulmonary coccidioidal lesions

Journal Article · · Am. Rev. Respir. Dis.; (United States)
OSTI ID:6539096
The value of /sup 67/Ga and methylene diphosphonate labeled with /sup 99m/Tc in detecting extrapulmonary lesions was evaluated in 12 patients with whom disseminated nonmeningeal coccidioidomycosis developed. Studies were performed with each radionuclide from 4 to 9 months after infection. Comparison of scintigraphy with radiography showed that eight of 14 osteolytic lesions identified by radiography were present on the bone and gallium scans; four were present only on the gallium scan, and two were undetected. Of 15 additional lesions present in both scanning procedures, eight were not present in matching roentgenograms and seven were in unstudied areas. Because nuclear scanning detected almost all lesions present in radiographs and demonstrated otherwise unrecognized lesions, scans should be performed in all patients in whom coccidioidal dissemination is suspected.
Research Organization:
Univ. of California, Davis
OSTI ID:
6539096
Journal Information:
Am. Rev. Respir. Dis.; (United States), Journal Name: Am. Rev. Respir. Dis.; (United States) Vol. 121:4; ISSN ARRDA
Country of Publication:
United States
Language:
English