European Journal of Nuclear Medicine

, Volume 23, Issue 7, pp 852–854 | Cite as

Identification of AIDS-related tuberculosis with concordant gallium-67 and three-hour delayed thallium-201 scintigraphy

  • M. V. Gómez
  • F. G. Gallardo
  • J. Cobo
  • J. Babé
Case Report

Abstract

Concordant gallium-67 and thallium-201 uptake has been described in malignant lesions. More recently,201Tl accumulation has been described in some benign conditions. The authors report three HIV-positive patients who underwent67Ga and201Tl scintigraphy. These studies revealed concordant67Ga and201Tl uptake and tumour was erroneously diagnosed. All three patients were finally diagnosed as having tuberculosis.

Key words

Gallium Thallium-201 Scintigraphy Tuberculosis AIDS 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Lee VW, Fuller JD, O'Brien MJ, Parker DR, Cooley TP, Liebman HA. Pulmonary Kaposi sarcoma in patients with AIDS: scintigraphic diagnosis with sequential thallium and gallium scanning.Radiology 1991; 180: 409–412.Google Scholar
  2. 2.
    Salvatore M, Carratii L, Porta E. Thallium-201 as a positive indicator for lung neoplasms; preliminary experiments.Radiology 1976; 121: 487–488.Google Scholar
  3. 3.
    Ramana L, Waxman AD, Weiss A, Rosen G. Thallium-201 scan patterns in bone and soft-tissue sarcoma [Abstract].J Nucl Med 1992; 33: 843.Google Scholar
  4. 4.
    Floresll LG, Hoshi Hiroaki, Nagamachi Shigeki, Ohnishi T, Watanabe K, Fukiyama J, Nao i N, Sawada A. Thallium-201 uptake in eosinophilic granuloma of the frontal bone: comparison with technetium-99m-MDP imaging.J Nucl Med 1995; 36: 107–110.Google Scholar
  5. 5.
    Krasnow AZ, Collier BD, Isitman AT, Hellman RS, Peck DC. The clinical significance of unusual sites of thallium-201 uptake.Semin Nucl Med 1988; 4: 350–358.Google Scholar
  6. 6.
    Elgazzar AH, Malki AA, Abdel-Dayem HM. Role of thallium-201 in diagnosis of solitary bone lesions.Nucl Med Commun 1989; 10: 477–485Google Scholar
  7. 7.
    Kandula P, Shirazi P. Localization of Tc-99m Sestamibi and Tl-201 in an unsuspected calcified intrathoracic mass.Clin Nucl Med 1995; 20: 1000–10002.Google Scholar
  8. 8.
    Abdel-Dayem HM, DiFabrizio L, Aras T, Kempf J, Sadik A, Al-Mohannadi S. Accuracy of sequential scanning with Tl-201 chloride and Ga-67 citrate in diagnosis of pulmonary Kaposi sarcoma in patients with AIDS [abstract].Radiology 1993; 189 (P): 334.Google Scholar
  9. 9.
    Lee VW, Cooley TP, Fuller JD, Ward RJ, Harrison BA, Farber W. Pulmonary mycobacterial infections in AIDS: characteristic pattern of thallium and gallium scan mismatch.Radiology 1994; 193: 389–392.Google Scholar
  10. 10.
    Burke T. Tl-201 uptake in pulmonary Mycobacterium avium complex infection.Clin Nucl Med 1995; 9: 835.Google Scholar
  11. 11.
    Ando A, Ando I, Katayama M. Biodistribution of Tl-201 in tumor bearing animals and inflammatory lesions.Eur J Nucl Med 1987; 12: 567–572.Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • M. V. Gómez
    • 1
  • F. G. Gallardo
    • 1
  • J. Cobo
    • 1
  • J. Babé
    • 1
  1. 1.Servicio de Medicina NuclearInstituto de Salud Carlos IIIMadridSpain

Personalised recommendations