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John H. Miller, MD; Lawrence J. Ettinger, MD

Am J Dis Child. 1986;140(3):230-232.

Abstract
• Chronic osteomyelitis producing unexplained fevers without localizing symptomatology may present difficulty in detection and differentiation in patients with leukemia. Gallium citrate Ga 67 scintigraphy offers a method of detection and localization of both the osseous and extraosseous manifestations of such a process. Once identified, further evaluation by conventional radiographic or sectional imaging techniques may further define the process. We describe three patients with leukemia and unexplained fever in whom occult chronic osteomyelitis was diagnosed by⁶⁷Ga scintigraph, which offers an ideal screening procedure and should be utilized in this clinical setting.

(AJDC 1986;140:230-232)

Author Affiliations
From the Divisions of Nuclear Radiology (Dr Miller) and Hematology-Oncology (Dr Ettinger), Childrens Hospital of Los Angeles, and the Departments of Radiology (Dr Miller) and Pediatrics (Dr Ettinger), University of Southern California School of Medicine, Los Angeles. Dr Ettinger is now with the Department of Pediatrics, University of Medicine and Dentistry of New Jersey, Rutgers Medical School, New Brunswick.

Footnotes
Accepted for publication Dec 3, 1985.

Reprint requests to Division of Nuclear Radiology, Childrens Hospital of Los Angeles. 4650 Sunset Blvd. Los Angeles, CA 90027 (Dr Miller).

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