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相關文獻
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題名 | Painless Subacute Thyroiditis Presenting as Fever of Unknown Origin: Detected by Gallium-67 Scan=以不明熱為表現的無痛亞急性甲狀腺炎:由鎵-67掃描所診斷 |
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作者 | 廖培湧; 陳必玗; 洪光威; | 書刊名 | 核子醫學雜誌 |
卷期 | 22:1 2009.03[民98.03] |
頁次 | 頁53-58 |
分類號 | 415.931 |
關鍵詞 | 亞急性甲狀腺炎; 不明熱; 鎵-67掃描; Subacute thyroiditis; Fever of unknown origin; □Ga scan; |
語文 | 英文(English) |
中文摘要 | 鎵-67掃描是評估不明熱一項有用的工具。在此我們報告一例77歲男性病患發燒已超過2週但無法找到明確的感染源。全身鎵-67掃描在兩側的甲狀腺呈現強烈且瀰漫性的吸收。病患在接受一系列的檢查,包括鎝-99m甲狀腺攝影、實驗室檢查,超音波和細針抽吸細胞學等,最後確定診斷是無頸部疼痛的非典型亞急性甲狀腺炎。 |
英文摘要 | Gallium-67 (67Ga) scan is a useful tool in the evaluation of fever of unknown origin (FUO). Here we present a case of 77-year-old man with prolonged fever for more than 2 weeks without definitely infectious origin. The whole body 67Ga scan showed intense and diffuse tracer uptake in the bilateral thyroid glands. Then the patient was further assessed with other diagnostic tests, including (superscript 99m) Tc thyroid scintigraphy, laboratory tests, ultrasonography and fine needle aspiration cytology. Finally, an atypical subacute thyroiditis with painless neck was diagnosed. |
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