An abnormal accumulation of fluorine-18-FDG PET in cytomegalovirus enteritis—A case report

Autor: Makiko Okuda, Takeo Ishigaki, Kengo Ito, Rikio Kato, Shoji Kawatsu, Masahiko Bundo, Takashi Nihashi, Takashi Kato, Kazumasa Hayasaka, Toru Arima
Rok vydání: 2006
Předmět:
Zdroj: Annals of Nuclear Medicine. 20:75-78
ISSN: 1864-6433
0914-7187
DOI: 10.1007/bf02985595
Popis: The source of a fever of unknown origin (FUO) and watery diarrhea in a 63-yr-old female with a history of disturbance of consciousness due to moyamoya disease was examined. Fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET), colonoscopy, blood analysis, and determination of cytomegalovirus (CMV) antigenemia were performed. FDG was found to be accumulated in the wall of a dilated colon, and extended from the transverse to sigmoid colon. Colonoscopy revealed edematous, inflammatory, and punched out lesions in accordance with the areas of abnormal FDG uptake. A biopsy specimen showed the antibody of CMV in the colonic mucosa, and CMV antigenemia was detected by an immunohistochemical assay using a monoclonal antibody for CMV pp65 antigen. From these findings, we strongly suspected CMV enteritis.
Databáze: OpenAIRE