Disseminated tuberculosis infection : a super 18F-FDG PET/CT appearance.

A 28-year-old immigrant presented with a 2-week history of throbbing headache. Contrast-enhanced computed tomography (CECT) examination showed multiple brain abscesses. He is a known defaulter from miliary tuberculosis treatment. 18F-FDG PET/CT demonstrated multiple visually high metabolic activit...

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Bibliographic Details
Main Authors: Nordin, Abdul Jalil, Rossetti, Claudio, Abdul Rahim, Noraini
Format: Article
Language:English
English
Published: Springer Verlag 2009
Online Access:http://psasir.upm.edu.my/id/eprint/14099/1/Disseminated%20tuberculosis%20infection.pdf
http://psasir.upm.edu.my/id/eprint/14099/
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Summary:A 28-year-old immigrant presented with a 2-week history of throbbing headache. Contrast-enhanced computed tomography (CECT) examination showed multiple brain abscesses. He is a known defaulter from miliary tuberculosis treatment. 18F-FDG PET/CT demonstrated multiple visually high metabolic activity lesions disseminated in the brain, thorax, abdomen and pelvis [1]. The maximum standard uptake values (SUVmax) of these lesions were substantially > 3.0 and comparable to the uptake of FDG-avid malignant lesions. These findings demand careful image interpretation implicating false-positive results [2, 3]. Our case illustrates the usefulness of 18F-FDG PET/CT in mapping active tuberculous lesions which can be used for baseline study [4].