A Unique Finding on Gallium-67 Scintigraphy Widespread Fatal Skin Manifestations of Pseudomonas Sepsis

作者：Wu Yu Chin; Hsieh Te Chun; Sun Shung Shung; Lo Woei Chung; Yen Kuo Yang; Kao Chia Hung^*

来源：Clinical Nuclear Medicine, 2011, 36(8): E96-E97.

DOI：10.1097/RLU.0b013e318219ae3f

• gallium scan
• septic embolism
• neutropenic fever
• leukemia
• Pseudomonas

We report a case of a 25-year-old woman presented with neutropenic fever after chemotherapy for the relapse of acute biphenotypic leukemia. Gallium-67 scintigraphy for the detection of infectious foci demonstrated a unique pattern of numerous foci with intense and varying-sized radioactivity spreading throughout the body. The subsequent skin biopsy and culture proved Pseudomonas infection. Therefore, this unique image, in combination with clinical information, was compatible with cutaneous manifestations of Pseudomonas sepsis. Eventually, the patient died of uncontrolled systemic infection despite the aggressive antibiotic treatment. This case reminded clinicians and nuclear medicine physicians to notice the potentially fatal finding on gallium-67 scan.

• 出版日期2011-8
• 单位中国医科大学