Incidental unilateral tuberculous sacroiliitis detected by 18F-FDG PET/CT in a patient with abdominal tuberculosis. | ||
| Asia Oceania Journal of Nuclear Medicine and Biology | ||
| مقاله 9، دوره 5، شماره 2، مهر 2017، صفحه 152-156 اصل مقاله (755.27 K) | ||
| نوع مقاله: Case report | ||
| شناسه دیجیتال (DOI): 10.22038/aojnmb.2017.8634 | ||
| نویسندگان | ||
| Domenico Albano* 1؛ Giorgio Treglia2؛ Paolo Desenzani3؛ Francesco Bertagna1 | ||
| 1Nuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy | ||
| 2Department of Nuclear Medicine and PET/CT Center, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland | ||
| 3Division of Internal Medicine, Montichiari Hospital, Brescia, Italy | ||
| چکیده | ||
| Tuberculosis is a systemic disease which involves skeletal and articular system very rarely. Osteoarticular tuberculosis commonly occurs in the vertebral column and more rarely in the sacroiliac joints. In this study, we report a 44-years-old male patient with low-grade fever, malabsorption syndrome, abdominal and pelvic ascites and low-back pain, that underwent 18F-FDG PET/CT for identifying the cause of signs and symptoms after a negative abdominal CT and negative thorax radiography. The study revealed increased tracer uptake at the peritoneal ascites and at the right sacroiliac joint in absence of bone alteration suggesting a sacroiliitis. Staining of the ascitic fluid was positive for acid-fast bacilli (Ziehl–Neelsen) and in the subsequent abdominal paracentesis Mycobacterium Tuberculosis was isolated; the final diagnosis was abdominal tuberculosis with a sacroiliac joint involvement. The patient started antitubercular therapy for 6 months and the clinical conditions were resolved, in particular both back pain and ascites disappeared. | ||
| کلیدواژهها | ||
| 18F-FDG؛ PET/CT؛ Abdominal tuberculosis؛ sacroiliitis | ||
| مراجع | ||
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