Atypical Disseminated Skeletal Tuberculosis Mimicking Metastasis on PET-CT and MRI
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概要
- 論文の詳細を見る
Multifocal skeletal tuberculosis is a very rare manifestation of tuberculous infection. The multiple bone lesions of multifocal skeletal tuberculosis are difficult to differentiate from metastasis, even when performing 2-[fluorine-18]-fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (FDG PET/CT) or magnetic resonance imaging (MRI). A 25-year-old man presented with an abnormal chest X-ray. Radiologically, there were extensive osteolytic lesions on the skull, along the entire spine and on the ribs and both iliac bones, suggesting a diagnosis of bone metastasis. On FDG PET/CT, intensely increased F-18 FDG lesions were observed. A bone biopsy with a microbiologic study revealed a tuberculous infection. Follow-up PET/CT performed after treatment showed marked improvement in the extensive FDG uptake lesions.
著者
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Lim Chae
Department Of Civil And Environmental Engineering Hanyang University
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Jee Won-hee
Department Of Radiology Kang Nam St. Mary's Hospital
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Wang Young-pil
Department Of Thoracic And Cardiovascular Surgery Kangnam St. Mary Hospital The Catholic University
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Lee Hea
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea
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Kang Ji
Division of Pulmonology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul St. Mary's Hospital, Korea
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Yoo Ie
Department of Nuclear Medicine, The Catholic University of Korea College of Medicine, Seoul St. Mary's Hospital, Korea
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Lee Hea
Division of Pulmonology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul St. Mary's Hospital, Korea
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Go Seong
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Korea
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Lim Chae
Department of Radiology, The Catholic University of Korea College of Medicine, Seoul St. Mary's Hospital, Korea
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