Lack of liver uptake of 99mTc leukocyte scan in the setting of alcoholic steatohepatitis and dress syndrome.

We report an incidental finding of absent liver uptake of (99m)Tc 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.