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不明原因发热：氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描显示常染色体显性多囊肾病中的肾囊肿感染

Fever of Unknown Origin: F-Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography Showing Renal Cyst Infection in Autosomal Dominant Polycystic Kidney Disease.

作者信息

Sharma Punit

机构信息

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

出版信息

Indian J Nucl Med. 2021 Jan-Mar;36(1):43-45. doi: 10.4103/ijnm.IJNM_139_20. Epub 2021 Mar 4.

DOI:10.4103/ijnm.IJNM_139_20
PMID:34040295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8130681/
Abstract

Fever of unknown origin (FUO) is a convoluted clinical dilemma. It can be caused by infective, inflammatory, malignant, and other pathologies. The identification of etiopathogenesis is essential for instituting definitive management. F-fluorodeoxyglucose (F-FDG) positron emission tomography-computed tomography (PET-CT) is now an integral part of FUO management. We present the case of a 60-year-old female with autosomal dominant polycystic kidney disease (ADPKD), where the infected renal cyst was detected as the cause of FUO onF-FDG PET-CT.

摘要

不明原因发热（FUO）是一个复杂的临床难题。它可能由感染性、炎症性、恶性及其他病理状况引起。明确病因对于制定确切的治疗方案至关重要。氟脱氧葡萄糖（F-FDG）正电子发射断层扫描-计算机断层扫描（PET-CT）如今是FUO诊治中不可或缺的一部分。我们报告一例60岁患常染色体显性多囊肾病（ADPKD）的女性病例，其感染性肾囊肿在F-FDG PET-CT检查中被发现是FUO的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/470c/8130681/fabef1f3e436/IJNM-36-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/470c/8130681/fabef1f3e436/IJNM-36-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/470c/8130681/fabef1f3e436/IJNM-36-43-g001.jpg

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本文引用的文献

1
The use of a visual 4-point scoring scale improves the yield of F-FDG PET-CT imaging in the diagnosis of renal and hepatic cyst infection in patients with autosomal dominant polycystic kidney disease.使用视觉 4 分评分量表可提高 F-FDG PET-CT 成像在常染色体显性多囊肾病患者中诊断肾和肝囊肿感染的效能。
Eur J Nucl Med Mol Imaging. 2021 Jan;48(1):254-259. doi: 10.1007/s00259-020-04903-x. Epub 2020 Jun 15.
2
F-FDG PET/CT in Autosomal Dominant Polycystic Kidney Disease Patients with Suspected Cyst Infection.常染色体显性遗传性多囊肾病患者疑似囊肿感染的 F-FDG PET/CT。
J Nucl Med. 2018 Nov;59(11):1734-1741. doi: 10.2967/jnumed.117.199448. Epub 2018 Apr 13.
3
FDG-PET/CT for diagnosis of cyst infection in autosomal dominant polycystic kidney disease.
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Clin Transl Imaging. 2018;6(1):61-67. doi: 10.1007/s40336-017-0261-8. Epub 2018 Feb 12.
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Fever of Unknown Origin: the Value of FDG-PET/CT.不明原因发热：FDG-PET/CT 的价值。
Semin Nucl Med. 2018 Mar;48(2):100-107. doi: 10.1053/j.semnuclmed.2017.11.004. Epub 2017 Dec 8.
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Intracystic magnetic resonance imaging in patients with autosomal dominant polycystic kidney disease: features of severe cyst infection in a case-control study.常染色体显性多囊肾病患者的囊内磁共振成像：一项病例对照研究中严重囊肿感染的特征
BMC Nephrol. 2016 Nov 9;17(1):170. doi: 10.1186/s12882-016-0381-9.
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Autosomal Dominant Polycystic Kidney Disease: Core Curriculum 2016.常染色体显性多囊肾病：2016年核心课程
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