Abdominal tuberculosis diagnosed on gallium scintigraphy in a child with pyrexia of unknown origin

We report a case of an eleven year old girl with pyrexia of unknown origin whose illness remained undiagnosed after extensive investigations. We were able to localize the disease to abdomen with a Gallium Whole Body Scan. In the background of a history of tuberculosis in a family member in an endemic area, empirical anti-tuberculosis treatment was given with clinical success that was also demonstrated on a repeat Gallium scan four months later.