Disseminated tuberculosis infection: a ‘super’ 18F-FDG PET/CT appearance

  • Abdul Jalil Nordin
  • Claudio Rossetti
  • Noraini Abdul Rahim
Open Access
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A 28-year-old immigrant presented with a 2-week history of throbbing headache. Contrast-enhanced computed tomography (CECT) examination showed multiple brain abscesses. He is a known defaulter from miliary tuberculosis treatment. 18F-FDG PET/CT demonstrated multiple visually high metabolic activity lesions disseminated in the brain, thorax, abdomen and pelvis [1]. The maximum standard uptake values (SUVmax) of these lesions were substantially > 3.0 and comparable to the uptake of FDG-avid malignant lesions. These findings demand careful image interpretation implicating false-positive results [2, 3]. Our case illustrates the usefulness of 18F-FDG PET/CT in mapping active tuberculous lesions which can be used for baseline study [4].

Acknowledgement

This paper was supported by International Atomic Energy Agency and Research University Grant UPM in 2008.

Open Access

This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Copyright information

© The Author(s) 2009

Authors and Affiliations

  • Abdul Jalil Nordin
    • 1
  • Claudio Rossetti
    • 2
  • Noraini Abdul Rahim
    • 3
  1. 1.Nuclear Imaging Unit, Faculty Medicine and Health SciencesUniversity Putra MalaysiaSerdangMalaysia
  2. 2.Department of Advanced Technology (Nuclear Medicine)Ospedale NiguardiaMilanItaly
  3. 3.Radiology DepartmentSerdang HospitalSerdangMalaysia

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