Difuse bilateral 67Gallium pulmonary uptake in a patient with Hodgkin's lymphoma and Pneumocystis carini infection

Abstract

We report the case of a 12-year-old boy with chemoresistant stage IV Hodgkin's lymphoma. A 67Gallium scan was performed when his fever did not diminish following intensification of therapy. Apart from a known bone lesion, it showed diffuse bilateral lung uptake which could well be interpreted as an extension of his disease. But further investigations brought evidence of a Pneumocystis carinii infection. Because of the underlying disease, it was an important pitfall with clinical implications.