We report an incidental finding of absent liver uptake of 99mTc leukocyte scan in an alcoholic patient with acute Zosyn (piperacillin and tazobactom)-related drug reaction with eosinophilia and systemic symptoms, persistent elevated white blood cell counts, and negative blood culture. Alcoholic steatohepatitis was confirmed in this patient through further clinical examination, blood test, and CT imaging.
From the Section of Nuclear Medicine, Department of Radiology, University of Illinois Hospital & Health Science System, Chicago, IL.
Received for publication May 23, 2012; and revision accepted September 10, 2012.
Conflicts of interest and sources of funding: none declared.
Reprints: Yang Lu, MD, PhD, Section of Nuclear Medicine, Department of Radiology (M/C 931), University of Illinois Hospital & Health Science System, 1740 West Taylor Street, Chicago, Illinois 60612. E-mail: email@example.com.