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Ga-67 scan in invasive aspergillosis: a case report.

A 38-year-old patient infected with the human immunodeficiency virus (CD4 + < 50 cells/mm 3 ) was examined because of fever of unknown origin. Ga-67 scintigraphy showed tracer uptake in the upper lobe of the right lung. Aspergillus was identified by fine-needle biopsy and treatment with itraconazole was instituted. Two months later, the patient had persistent fever, cough, and dyspnea, and at this time Ga-67 scintigraphy showed that uptake in the upper lobe of the right lung had increased and a new abnormal Ga-67 accumulation had appeared in the right middle lobe, indicating a lack of response. The patient died 15 days later despite treatment with amphotericine B. Invasive aspergillosis was diagnosed at necropsy.