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Extrapulmonary Tuberculosis and Tuberculous Lymphadenopathy (99m Tc-Ethambutol Scintigraphy / Contributed by Indonesia)

Extrapulmonary Tuberculosis and Tuberculous Lymphadenopathy (99m Tc-Ethambutol Scintigraphy / Contributed by Indonesia)
Hussein Kartamihardja, MD
Universitas Padjadjaran, E-Learning in Nuclear Medicine An Electronic Atlas of Interesting Nuclear Medicine Cases
Bahasa Inggris
Universitas Padjadjaran, E-Learning in Nuclear Medicine An Electronic Atlas of Interesting Nuclear Medicine Cases
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HISTORY 54 years old male with trismus & pus from painless right temporo-mandibular joint fistula since 3 years ago. FINDINGS Laboratory Tests. Diagnostic tools such as PCR, Mycobacterial culture, and acid-fast-bacilli (AFB) showed negative for tuberculosis. Ethambutol Scintigraphy. Based on history and clinical finding with high suspected for tuberculosis, the patient sent for TcEthambutol scintigraphy. Scan Showed increased abnormal tracer uptake at the area correspond to right temporo-mandibular joint fistula as shown in Figure 2. This Finding is considered as positive result for tuberculosis infection, giving the diagnosis of extrapulmonary tuberculosis at the temporomandibular joint.

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