Mesh : Humans Positron Emission Tomography Computed Tomography Male Fluorodeoxyglucose F18 Fever of Unknown Origin / diagnostic imaging Prostatitis / diagnostic imaging microbiology Brucellosis / diagnostic imaging complications Middle Aged Tomography, X-Ray Computed

来  源:   DOI:10.1097/RLU.0000000000005293

Abstract:
UNASSIGNED: FDG PET/CT is a well-documented imaging investigation to evaluate fever of unknown origin (FUO). Brucellosis is one of the causes of FUO, which can be missed as it requires a longer incubation period for growth on culture media. Rarely, it can involve the prostate. Here, we present a case of FUO with initial negative blood and urine cultures and no localizing signs or symptoms. 18F-FDG PET/CT revealed hypermetabolism in the prostate and seminal vesicles. A repeat blood and urine culture showed the growth of Brucella species after 5 days of incubation, and the patient responded to Brucella-directed antibiotic therapy.
摘要:
FDGPET/CT是一项有据可查的影像学检查,用于评估不明原因发热(FUO)。布鲁氏菌病是FUO的病因之一,这可能会被错过,因为它需要更长的孵育期以在培养基上生长。很少,可能累及前列腺.这里,我们介绍了一例FUO患者,最初的血和尿培养均为阴性,且无局部体征或症状.18F-FDGPET/CT显示前列腺和精囊代谢亢进。重复的血液和尿液培养显示布鲁氏菌在培养5天后生长,患者对布氏杆菌指导的抗生素治疗有反应。
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