open access

Vol 25, No 2 (2022)
Clinical vignette
Submitted: 2021-12-07
Accepted: 2022-04-27
Published online: 2022-07-11
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COVID-19 pneumonia detected by parathyroid scintigraphy

Mehrosadat Alavi12, Yalda Moafpourian2
·
Pubmed: 35848525
·
Nucl. Med. Rev 2022;25(2):134-135.
Affiliations
  1. Ionizing and Non-Ionizing Radiation Protection Research Center (INIRPRC), Shiraz University of Medical Sciences, Shiraz, Iran
  2. Nuclear Medicine Department, Medical School, Shiraz University of Medical Science, Shiraz, Iran

open access

Vol 25, No 2 (2022)
Clinical vignette
Submitted: 2021-12-07
Accepted: 2022-04-27
Published online: 2022-07-11

Abstract

We report a case of incidental diagnosis of COVID-19 pneumonia by parathyroid scintigraphy. A 53-year-old woman who had severe fatigue, and mild dyspnea underwent parathyroid scintigraphy due to increased serum parathyroid hormone (PTH) and serum calcium levels. Parathyroid scan was negative for abnormal parathyroid tissue. Although the patient had three negative results of COVID-19 PCR tests, significant 99m Tchexakis-2-methoxyisobutylisonitrile ([99mTc]MIBI) uptake is noticed in both lungs that was suspicious for Covid-19 pneumonia. The patient underwent CT scan of the chest for further evaluation. Diffuse groundglass opacities were identified in both lungs which were interpreted as typical feature for COVID-19 pneumonia.

Abstract

We report a case of incidental diagnosis of COVID-19 pneumonia by parathyroid scintigraphy. A 53-year-old woman who had severe fatigue, and mild dyspnea underwent parathyroid scintigraphy due to increased serum parathyroid hormone (PTH) and serum calcium levels. Parathyroid scan was negative for abnormal parathyroid tissue. Although the patient had three negative results of COVID-19 PCR tests, significant 99m Tchexakis-2-methoxyisobutylisonitrile ([99mTc]MIBI) uptake is noticed in both lungs that was suspicious for Covid-19 pneumonia. The patient underwent CT scan of the chest for further evaluation. Diffuse groundglass opacities were identified in both lungs which were interpreted as typical feature for COVID-19 pneumonia.

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Keywords

COVID-19; [99mTc]MIBI; primary hyperparathyroidism

About this article
Title

COVID-19 pneumonia detected by parathyroid scintigraphy

Journal

Nuclear Medicine Review

Issue

Vol 25, No 2 (2022)

Article type

Clinical vignette

Pages

134-135

Published online

2022-07-11

Page views

4160

Article views/downloads

393

DOI

10.5603/NMR.a2022.0029

Pubmed

35848525

Bibliographic record

Nucl. Med. Rev 2022;25(2):134-135.

Keywords

COVID-19
[99mTc]MIBI
primary hyperparathyroidism

Authors

Mehrosadat Alavi
Yalda Moafpourian

References (8)
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  2. Moralidis E. Radionuclide parathyroid imaging: a concise, updated review. Hell J Nucl Med. 2013; 16(2): 125–133.
  3. Jin YH, Cai L, Cheng ZS. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version) . Mil Med Res. 2020; 7(1): 4.
  4. Xie X, Zhong Z, Zhao W, et al. Chest CT for Typical Coronavirus Disease 2019 (COVID-19) Pneumonia: Relationship to Negative RT-PCR Testing. Radiology. 2020; 296(2): E41–E45.
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  6. Stasiak CE, Cardoso FR, de Almeida SA, et al. Incidental finding of COVID-19 infection after [ 68Ga]Ga-PSMA-11 PET/CT imaging in a patient with prostate cancer . Eur J Nucl Med Mol Imaging. 2021; 48(2): 653–654.
  7. Malek H, Maghsudi M, Yaghoobi N. Extra-cardiac multifocal lung uptake of Tc-sestamibi in myocardial perfusion imaging: An asymptomatic case with coronavirus infection features. J Nucl Cardiol. 2020 [Epub ahead of print].
  8. Albano D, Bertagna F, Bertoli M, et al. Incidental Findings Suggestive of COVID-19 in Asymptomatic Patients Undergoing Nuclear Medicine Procedures in a High-Prevalence Region. J Nucl Med. 2020; 61(5): 632–636.

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