The scintigraphic presentation of pott's disease

A 25-year-old women underwent bone end Ga-67 scintigraphy for the evaluation of severe neck and back pain and fever of unknown origin (FUO). The striking scintigraphic and correlative MR/findings involving the axial skeleton are presented. These findings guided clinicians in obtaining a CT directed biopsy which eventually grew a sensitive strain of Mycobacterium tuberculosis. The increased incidence of tuberculosis in the general population is an important reason to consider the continued use of Ga-67 scintigraphy in the investigation of patients with FUO.