A 35-year-old man was admitted because of protracted fever and vomiting. Past history was negative except for G6PD hemolytic anemia with cholecystectomy. Physical exam was normal. Normocytic and normochromic anemia with a hemoglobin of 10 g/dl and leukocytosis of 14,600mm3 were present. The patient improved without treatment and was discharged with presumed diagnosis of viral infection 7 weeks after onset of symptoms. Ga-67 scan initially suggested gastric lymphoma, but repeated Ga-67 and hepatobiliary scans proved duodenogastric reflux.
*From the Department of Nuclear Medicine, Edith Wolfson Hospital, Holon, Israel
†From the Department of Internal Medicine, Edith Wolfson Hospital, Holon, Israel