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¹⁸F氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描结果无诊断意义的不明原因发热患者的结局

Outcome in Patients with Fever of Unknown Origin whose ¹⁸Fluoro-Deoxyglucose Positron Emission Tomography/Computerized Tomography Finding is Non-Diagnostic.

作者信息

Kim Tark, Park Jin, Choo Eun Ju, Jeong Hyemin, Jeon Chan Hong, Hwang Jae Pil, Park Jung Mi

机构信息

Division of Infectious Diseases, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

Division of Rheumatology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

出版信息

Infect Chemother. 2018 Mar;50(1):43-47. doi: 10.3947/ic.2018.50.1.43.

Abstract

Prognosis has not been known for patients with fever of unknown origin (FUO) whose ¹⁸fluoro-deoxyglucose (¹⁸F-FDG) positron emission tomography/computerized tomography (PET/CT) finding is non-diagnostic. A total of eight patients with FUO that underwent ¹⁸F-FDG PET/CT were retrospectively identified January 2016 - June 2017 in a tertiary hospital in Korea. Of these, two patients were diagnosed with microscopic polyangitis and Kikuchi's disease and one patient was transferred to another hospital. Of five patients whose diagnoses were not confirmed, four patients received non-steroidal anti-inflammatory drug and/or low dose steroid and symptoms disappeared. Our study suggests that outcome of patients with FUO whose ¹⁸F-FDG PET/CT finding is non-diagnostic would be favorable.

摘要

对于¹⁸氟脱氧葡萄糖(¹⁸F-FDG)正电子发射断层扫描/计算机断层扫描(PET/CT)结果无诊断意义的不明原因发热(FUO)患者,其预后尚不清楚。2016年1月至2017年6月,在韩国一家三级医院对8例接受¹⁸F-FDG PET/CT检查的FUO患者进行了回顾性研究。其中,2例患者被诊断为显微镜下多血管炎和菊池病,1例患者转至其他医院。在5例诊断未得到证实的患者中,4例患者接受了非甾体抗炎药和/或低剂量类固醇治疗,症状消失。我们的研究表明,¹⁸F-FDG PET/CT结果无诊断意义的FUO患者预后良好。

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