Koh Sung Ae
Department of Hematology-Oncology, College of Medicine, Yeungnam University, Daegu, Korea.
Infect Dis Rep. 2018 Sep 25;10(2):7773. doi: 10.4081/idr.2018.7773. eCollection 2018 Sep 5.
We present a case of a 60-year-old woman diagnosed with disseminated tuberculosis with bilateral adrenalitis resulting in Addison's disease. The 18-fluorodeoxyglucose (18-FDG) positron emission tomography (PET) computed tomography (CT) was performed, which revealed increased FDG uptake in the neck, mediastinal, and abdominal lymph nodes, and both adrenal glands, similar to the lesions noted on CT. We suspected the patient to have a lymphoma; therefore, axillary biopsy was performed, which revealed chronic granulomatous lesion with focal caseous necrosis.
我们报告一例60岁女性,被诊断为播散性结核病合并双侧肾上腺炎,导致艾迪生病。进行了18氟脱氧葡萄糖(18-FDG)正电子发射断层扫描(PET)计算机断层扫描(CT),结果显示颈部、纵隔和腹部淋巴结以及双侧肾上腺的FDG摄取增加,与CT上发现的病变相似。我们怀疑该患者患有淋巴瘤;因此,进行了腋窝活检,结果显示为慢性肉芽肿性病变伴局灶性干酪样坏死。