Kwok C G, McDougall I R
Department of Radiology, Stanford University School of Medicine, CA 94305, USA.
J Nucl Med. 1996 Dec;37(12):2062-5.
Persistent fever in a 60-yr-old man with polycystic kidney and liver diseases and bilateral hip prostheses was presented in this study. Multiple diagnostic tests failed to localize a source of infection. Subsequently, a combination of a 111In-oxine labeled WBC and 99mTc-sulfur colloid scans (and computer subtraction) demonstrated abnormally increased WBC activity in the left lobe of the liver, thus, diagnosis of an infected cyst (or cysts) was made. The patient responded to the treatment with antibiotics. This article discusses the clinical features of polycystic disease of the liver and kidneys. Infection in cysts are discussed as well as radiographic and scintigraphic investigations that can be used to diagnose and localize infection in a cyst.
本研究报告了一名60岁男性，患有多囊肾和多囊肝疾病且双侧髋关节有假体，出现持续发热症状。多项诊断检查未能确定感染源。随后，铟-111氧嗪标记白细胞与锝-99m硫胶体扫描（以及计算机减影）相结合，显示肝脏左叶白细胞活性异常增加，因此诊断为一个或多个感染性囊肿。患者对抗生素治疗有反应。本文讨论了肝肾多囊病的临床特征。还讨论了囊肿感染以及可用于诊断和定位囊肿感染的影像学和闪烁扫描检查。
