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不明原因发热 - 感染性肛瘘为 18F-FDG PET-CT 检查的焦点。

Fever of Unknown Origin - infected Fistula-in-Ano as the focus on 18F-FDG PET-CT.

机构信息

Department of Nuclear Medicine and PET-CT, Apollo Gleneagles Hospitals, Kolkata, India, India.

出版信息

Nucl Med Rev Cent East Eur. 2021;24(1):31-32. doi: 10.5603/NMR.2021.0007.

Abstract

Fever of Unknown Origin (FUO) is a vexing clinical problem. Diagnosis of aetiology is essential for definitive management. A wide array of infective, inflammatory, malignant and miscellaneous pathologies can cause FUO. Hybrid imaging with 18F-Fluorodeoxyglucose (18F-FDG) positron emission tomography-computed tomography (PET-CT) is now an integral part of FUO management because of its ability to demonstrate the cause in a large proportion of cases. The authors present the case of a 42-year-old male, where an infected fistula-in-ano was detected as the cause of FUO on 18F-FDG PET-CT.

摘要

不明原因发热(FUO)是一个棘手的临床问题。病因诊断对明确治疗至关重要。感染、炎症、恶性和各种混杂性病变都可引起 FUO。18F-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)的混合成像现在是 FUO 管理的一个组成部分,因为它能够在很大比例的病例中确定病因。作者介绍了一位 42 岁男性的病例,在该病例中,18F-FDG PET-CT 显示感染性肛瘘是 FUO 的病因。

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