Incidental Unilateral Tuberculous Sacroiliitis Detected by (18)F-FDG PET/CT in a Patient with Abdominal Tuberculosis.

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_00F0AEA78F23
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Incidental Unilateral Tuberculous Sacroiliitis Detected by (18)F-FDG PET/CT in a Patient with Abdominal Tuberculosis.
Journal
Asia Oceania journal of nuclear medicine & biology
Author(s)
Albano D., Treglia G., Desenzani P., Bertagna F.
ISSN
2322-5718 (Print)
ISSN-L
2322-5718
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
5
Number
2
Pages
144-147
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
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 (18)F-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.

Keywords
18F-FDG, Abdominal tuberculosis, PET/CT, Sacroiliitis
Pubmed
Create date
20/08/2017 15:05
Last modification date
20/08/2019 12:23
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