Lambda sign on a gallium scan: not always sarcoidosis

Abstract

Sarcoidosis is a systemic disease of unknown origin. We describe a case of sputum smear-and culture-negative tuberculosis that was diagnosed with histological examination of a surgical lung biopsy, as other entities such as sarcoidosis could not be excluded after extended investigation. Even a typical lambda sign on gallium scintigraphy proved to be misleading

Keywords

• tuberculosis
• sarcoidosis
• culture-negative
• lambda sign