~(67)镓-枸橼酸盐闪烁照像,在诊断局部感染灶,特别是在术后感染方面的优越性已得到很好的证明。但是,在长期无诱因的高热方面,~(67)镓-枸橼酸盐和骨扫描剂~(99m)锝-甲基二磷酸盐的联合应用,却是少见的;另外在应用前面的方法探测时,一般要超过几天的时间才能诊断。本文报道一个无诱因高热的临床病例。我们采用~(67)镓和~(99m)锝-甲基二磷酸盐联合扫描法,在6小时内就查明了该病例症候群的原因。临床资料:一名34岁的妇女,在北非逗留7周后突然发病。高烧持续15天被收入院。到达医院时体温在39℃以上,并且由于严重的腹泻而脱水。临床检查发现在左上腹有一肿物,考虑是脾肿大。该患者还患有阴道炎。化验白细胞为多形核,白细胞为12,000/每立方毫米,血沉150毫米/小时。鉴于该患者一般状态较差,开始用维生素B_1进行治疗。在以后的4天中,高热逐渐消退。其他实验室检查(血培养,血清试验 ~ (67) gallium - citrate scintigraphy, the diagnosis of local lesions, especially in the superiority of postoperative infection has been well documented. However, the combined use of ~ (67) gallium-citrate and bone scintillator ~ (99m) technetium-methyl diphosphate is uncommon in the long-term, unprovoked hyperthermia. In addition, Detection, the general to more than a few days time to diagnosis. This article reports a clinical case of high fever without incentives. We used ~ (67) Gallium and ~ (99m) technetium-methyl diphosphate combined scanning to identify the cause of the disease within 6 hours. Clinical data: A 34-year-old woman with sudden onset of illness after 7 weeks in North Africa. High fever for 15 days was admitted to hospital. When arriving at the hospital, the temperature is above 39 ° C and is dehydrated due to severe diarrhea. Clinical examination found a tumor in the left upper quadrant, consider splenomegaly. The patient also has vaginitis. Laboratory leukocytes polymorphonuclear, white blood cells of 12,000 / cubic millimeter, ESR 150 mm / hour. In view of the poor general condition of the patient, began treatment with vitamin B_1. In the next four days, high fever gradually subsided. Other laboratory tests (blood culture, serum test