[67镓-柠檬酸盐闪烁扫描显示间质性肾炎，该病例诊断为不明原因发热]

[Interstitial nephritis demonstrated by 67Ga-citrate scintigraphy within a diagnosis of fever of unknown origin].

作者信息

Asensio Nogués I, Bello Arqués P, Hervas Benito I, Pérez Velasco R, Mut Dólera T, Mateo Navarro A

机构信息

Servicio de Medicina Nuclear, Hospital Universitario La Fe, Valencia, España.

出版信息

Rev Esp Med Nucl. 2009 Sep-Oct;28(5):242-5. doi: 10.1016/j.remn.2009.01.001. Epub 2009 Jul 28.

DOI:10.1016/j.remn.2009.01.001

PMID:19922841

Abstract

We present a clinical case of a 54-year-old woman that was admitted in our hospital with the diagnosis of fever of unknown origin. All the laboratory tests and imaging techniques did not manage to establish the fever's aetiology until a (67)Ga-citrate scan was performed and kidney uptake was observed, which lead to the clinical suspicion of drug-induced interstitial nephritis. The renal biopsy confirmed the diagnosis. This finding allowed corticoid therapy and cure.

摘要

我们报告一例54岁女性的临床病例，该患者因不明原因发热入院。在进行枸橼酸镓（67Ga）扫描并观察到肾脏摄取之前，所有实验室检查和影像学技术均未能确定发热的病因，这引发了对药物性间质性肾炎的临床怀疑。肾活检证实了诊断。这一发现使得采用皮质类固醇治疗并治愈成为可能。