Mahajan Madhuri Shimpi, Bedmutha Akshay, Singh Natasha
Department of Nuclear Medicine and PET-CT, P.D. Hinduja National Hospital and MRC, Mumbai, Maharashtra, India.
Indian J Urol. 2017 Oct-Dec;33(4):325-327. doi: 10.4103/iju.IJU_204_17.
Genitourinary tuberculosis contributes to 10%-14% of extrapulmonary TB. Prostate tuberculosis is rare and usually found incidentally following transurethral resection of the prostate for benign prostatic hyperplasia. We report a case of an immunocompetent patient with pyrexia of unknown origin, on evaluation with whole-body 18F-fludeoxyglucose positron emission tomography computed tomography scan found to have suspicious prostatic primary, with hypermetabolic abnormalities involving the brain. Histopathological diagnosis was established as multifocal tuberculosis involving prostate, meninges, and intracranial tuberculomas.
泌尿生殖系统结核占肺外结核的10%-14%。前列腺结核罕见，通常在因良性前列腺增生行经尿道前列腺切除术时偶然发现。我们报告一例免疫功能正常的不明原因发热患者，经全身18F-氟脱氧葡萄糖正电子发射断层扫描计算机断层扫描评估，发现前列腺原发性可疑病变，伴有累及脑部的高代谢异常。组织病理学诊断为多灶性结核，累及前列腺、脑膜和颅内结核瘤。
