Abstract
We present the case of a 71-year-old man experiencing sudden onset of conscious disturbance at home. 67Gagallium citrate scintigraphy was performed to find infectious foci. It showed intense gallium uptake in the muscles of bilateral shoulders, arms, thighs, and the trunk, indicating rhabdomyolysis. The diagnosis was compatible with the laboratory data of a remarkable increase in serum creatine kinase. Five days later, a (superscript 99m)Tc-MDP bone scan also showed intense uptake in the same muscle groups. Two and a half months after the first gallium scan, an additional gallium scan obtained for the detection of fever of unknown origin revealed complete resolution of the previous muscle lesions. According to the case, bone and gallium scintigraphies are not only valuable for an early diagnosis with a thorough evaluation of muscle injury in the whole body but also useful in the follow-up of rhabdomyolysis.
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