Bone and Gallium Scintigraphies in Rhabdomyolysis: A Case Report
نویسندگان
چکیده
Received 4/8/2008; revised 7/3/2008; accepted 7/7/2008. For correspondence and reprints contact: Nan-Tsing Chiu, M.D., Department of Nuclear Medicine, Medical College, National Cheng Kung University. 138 ShengLi Road, Tainan 704, Taiwan. Tel: (886)6-2353535 ext. 2474, Fax: (886)62766609, E-mail: [email protected]. We present the case of a 71-year-old man experiencing sudden onset of conscious disturbance at home. Gagallium 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 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.
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