Ozmen Ozlem, Gökçek Atila, Tatcı Ebru, Biner Inci, Akkalyoncu Behiye
Department of Nuclear Medicine, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, 06280 Ankara, Turkey.
Department of Radiology, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey.
Nucl Med Mol Imaging. 2014 Mar;48(1):75-8. doi: 10.1007/s13139-013-0236-2. Epub 2013 Sep 27.
Tuberculosis is a systemic disease that still affects many people. While pleural involvement is frequently observed in extrapulmonary tuberculosis, multiple skeletal system and articular involvements are quite rare. FDG PET imaging could be a promising diagnostic and treatment monitoring method, especially in complicated cases and if the other methods are inadequate. In this case study, we report a patient who was admitted with suspected malignancy and then diagnosed with tuberculosis pleuritis, lymphadenitis, spondylodiscitis, and sacroiliitis with specific symptoms; the response to anti-tuberculosis therapy was shown using FDG PET/CT.
结核病是一种仍影响着许多人的全身性疾病。虽然在肺外结核中经常观察到胸膜受累，但多个骨骼系统和关节受累相当罕见。氟代脱氧葡萄糖正电子发射断层显像（FDG PET）成像可能是一种很有前景的诊断和治疗监测方法，特别是在复杂病例以及其他方法不足的情况下。在本病例研究中，我们报告了一名患者，该患者因疑似恶性肿瘤入院，随后被诊断为结核性胸膜炎、淋巴结炎、脊椎间盘炎和骶髂关节炎，并伴有特定症状；使用FDG PET/CT显示了对抗结核治疗的反应。
