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儿童肝脾弓蛔虫病及 18F-FDG 显像的阳性贡献

Hepatosplenic Cat-Scratch Disease in Children and the Positive Contribution of 18F-FDG Imaging.

机构信息

From the *Beatrix Children's Hospital, University Medical Centre Groningen; †Martini Hospital Groningen; and ‡Department of Nuclear Medicine and Molecular Imaging, University Medical Centre Groningen, Groningen, The Netherlands.

出版信息

Clin Nucl Med. 2015 Sep;40(9):746-7. doi: 10.1097/RLU.0000000000000843.

DOI:10.1097/RLU.0000000000000843
PMID:26164171
Abstract

Two patients were referred to our hospital because of suspected malignancy. In patient 1, a 4-year-old boy, a F-FDG PET scan showed an enlarged liver with multiple FDG-positive nodular lesions. In patient 2, a 16-year-old boy, a FDG PET-(low-dose) CT showed an enlarged liver and spleen with multiple nodular lesions and a solitary hypodense nodule adjacent to the pancreatic head. The lesions were thought to originate from infectious disease or lymphoma. Polymeric chain reaction (PCR) on a liver biopsy was positive for Bartonella henselae. Both patients were treated with antibiotics and recovered completely.

摘要

两名疑似恶性肿瘤的患者被转至我院。患者 1 为 4 岁男孩,行 F-FDG PET 扫描显示肝脏肿大,伴有多个 FDG 阳性结节性病变。患者 2 为 16 岁男孩,行 FDG PET(低剂量)CT 显示肝脾肿大,伴有多个结节性病变和胰头部单发低密度结节。病变考虑为感染性疾病或淋巴瘤。肝活检聚合酶链反应(PCR)阳性提示感染了汉赛巴尔通体。两名患者均接受了抗生素治疗,完全康复。

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