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FDG-PET/CT for a Variety of Infectious Diseases

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PET/CT for Inflammatory Diseases

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Abstract

A 70-year-old man presented with right mandibular pain and history of right mandibular third molar extraction 20 months back. Examination revealed purulence, exposed bone, and mental nerve hypoesthesia. He was previously prescribed zoledronate to treat bone metastases from pulmonary adenocarcinoma. PET/CT images taken 5 months before the first visit demonstrated increased mandibular FDG uptake. The inflammation remained symptomatic despite zoledronate discontinuation and antibiotic administration, with left mandibular bone exposure. SPECT/CT images demonstrated increased MDP uptake and bilateral mandibular bone destruction. Mandibular resection and pathological investigation revealed a sequestrum, indicating chronic osteomyelitis, leading to diagnosis of ARONJ (stages III and I).

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Authors and Affiliations

  1. Department of Radiology, Fujita Health University, Toyoake, Aichi, Japan

    Hiroshi Toyama

  2. Department of Dentistry and Oral-Maxillofacial Surgery, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan

    Koji Satoh & Taroh Okui

  3. Shanghai Changhai Hospital, Shanghai, China

    Chao Cheng

  4. Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, Japan

    Kimiteru Ito

  5. The First Hospital of China Medical University, Shenyang, China

    Jingping Zhang

  6. Toho University Omori Medical Center, Tokyo, Japan

    Miyako Morooka

  7. Fukushima Medical University/Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan

    Motoyuki Takaki

  8. Department of Radiology, Sendai Kousei Hospital, Sendai, Japan

    Kentaro Inoue

  9. Department of Nephrology, Japan Community Health Care Organization (JCHO) Sendai Hospital, Sendai, Japan

    Yoshinori Tsuchiya

  10. Department of Surgery, Japan Community Health Care Organization (JCHO) Sendai Hospital, Sendai, Japan

    Nobuyuki Honma

  11. Kyoto University Hospital, Kyoto, Japan

    Yuji Nakamoto

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  1. Hiroshi Toyama
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Corresponding author

Correspondence to Hiroshi Toyama .

Editor information

Editors and Affiliations

  1. Department of Radiology, Fujita Health University, Toyoake, Aichi, Japan

    Hiroshi Toyama

  2. Department of Nuclear Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, China

    Yaming Li

  3. Joint Research Division for the Quantum Cancer Therapy, Research Center for Nuclear Physics, Professor Emeritus, Osaka University, Suita, Osaka, Japan

    Jun Hatazawa

  4. Shanghai University of Medicine & Health Sciences, Shanghai, China

    Guang Huang

  5. Department of Radiology, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan

    Kazuo Kubota

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Toyama, H. et al. (2020). FDG-PET/CT for a Variety of Infectious Diseases. In: Toyama, H., Li, Y., Hatazawa, J., Huang, G., Kubota, K. (eds) PET/CT for Inflammatory Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-15-0810-3_3

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  • DOI: https://doi.org/10.1007/978-981-15-0810-3_3

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  • Online ISBN: 978-981-15-0810-3

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