From the Naval Medical Center San Diego, San Diego, CA.
Clin Nucl Med. 2017 Apr;42(4):319-322. doi: 10.1097/RLU.0000000000001570.
Coccidioidomycosis (valley fever) is a systemic fungal infection resulting from inhalation of the Coccidioides immitis or posadasii spores. In many cases, infection causes a self-limited community-acquired pneumonia; however, in patients with risk factors, such as immunosuppression or African or Pacific Island ancestry, significant morbidity and mortality from disseminated disease may occur. Presented here are comparative images using Tc-MDP bone scan, F-FDG PET/CT, and MRI. Each demonstrates particular strengths, which aid in assessing the extent of systemic involvement of a biopsy-proven case of disseminated coccidioidomycosis.
球孢子菌病（又称山谷热）是一种系统性真菌感染病，由吸入粗球孢子菌或波萨达斯球孢子菌的孢子引起。在许多情况下，感染会导致自限性社区获得性肺炎；然而，对于存在免疫抑制或非洲裔或太平洋岛民血统等危险因素的患者，可能会出现播散性疾病的严重发病率和死亡率。这里展示了使用 Tc-MDP 骨扫描、F-FDG PET/CT 和 MRI 的对比图像。每一种方法都有其独特的优势，有助于评估经活检证实的播散性球孢子菌病的全身受累范围。
