Tc-99m Ciprofloxacin (Infecton) in Abdominal Tuberculosis

Abstract

A 25-year-old man presented with a 2-month history of night fever, sweating, abdominal pain, and swelling. He tended livestock and frequently consumed unpasteurized milk. Examination revealed wasting and a “doughy” distended abdomen. Ultrasound showed matted loops of bowel and a pelvic fluid collection. An Infecton scan demonstrated abnormal abdominal uptake. A 35-year-old woman was admitted with fever, acute urinary retention, abdominal distension, and progressive weight loss. The patient was wasted and had gross ascites. The right kidney was not seen on a Tc-99m DTPA scan, and there was a scar in the left upper pole. Abnormal abdominal and pelvic activity was seen on Infecton scintigraphy. Both patients had negative chest radiographs and responded dramatically to antitubercular therapy.