腺型兔热病的氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（F-FDG PET/CT）表现

F-FDG PET/CT Findings in Glandular Tularemia.

作者信息

Gustafsson Freja, Rasmussen Karl Keigo, Thorsteinsson Kristina, Lebech Anne-Mette, Fjordside Lasse

机构信息

Department of Infectious Diseases, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark.

Department of Nuclear Medicine, Copenhagen University Hospital-Bispebjerg, Bispebjerg Bakke 23, DK-2400 Copenhagen, Denmark.

出版信息

Diagnostics (Basel). 2025 May 2;15(9):1159. doi: 10.3390/diagnostics15091159.

DOI:10.3390/diagnostics15091159

PMID:40361977

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12071816/

Abstract

A 47-year-old woman presented with fever, fatigue, night sweats and inguinal glandular swelling following a tick bite. Weeks of diagnostic uncertainty followed, and a lymph node biopsy was sent to be investigated for tularemia and pathology. An F-FDG PET/CT scan was performed due to a suspicion of malignant lymphoma. The scan revealed high metabolic activity in the left inguinal region, which was compatible with abscesses. The diagnosis of glandular tularemia was established on a positive PCR for () and positive serology. This case highlights the challenges of diagnosing tularemia and illustrates the role of imaging.

摘要

一名47岁女性在被蜱叮咬后出现发热、乏力、盗汗和腹股沟淋巴结肿大。随后数周诊断不明，淋巴结活检送去检测兔热病及进行病理检查。因怀疑恶性淋巴瘤进行了F-FDG PET/CT扫描。扫描显示左腹股沟区代谢活性增高，符合脓肿表现。通过针对（）的PCR检测阳性及血清学检测阳性确诊为腺型兔热病。该病例凸显了兔热病诊断的挑战，并说明了影像学的作用。