Article

A unique finding on gallium-67 scintigraphy: widespread fatal skin manifestations of Pseudomonas sepsis.

Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan.
Clinical nuclear medicine (impact factor: 3.92). 08/2011; 36(8):e96-7. DOI:10.1097/RLU.0b013e318219ae3f
Source: PubMed

ABSTRACT 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.

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Keywords

25-year-old woman
 
acute biphenotypic leukemia
 
aggressive antibiotic treatment
 
chemotherapy
 
clinicians
 
cutaneous manifestations
 
detection
 
fatal
 
neutropenic fever
 
nuclear medicine physicians
 
numerous foci
 
Pseudomonas sepsis
 
subsequent skin biopsy
 
uncontrolled systemic infection
 

Yu-Chin Wu