Incidental unilateral tuberculous sacroiliitis detected by 18F-FDG PET/CT in a patient with abdominal tuberculosis.

Albano, Domenico and Treglia, Giorgio and Desenzani, Paolo and Bertagna, Francesco (2017) Incidental unilateral tuberculous sacroiliitis detected by 18F-FDG PET/CT in a patient with abdominal tuberculosis. Asia Oceania Journal of Nuclear Medicine and Biology, 5 (2). pp. 152-156.

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Abstract

Tuberculosis is a systemic disease which involves skeletal and articular system very rarely. Osteoarticular tuberculosis commonly occurs in the vertebral column and more rarely in the sacroiliac joints. In this study, we report a 44-years-old male patient with low-grade fever, malabsorption syndrome, abdominal and pelvic ascites and low-back pain, that underwent 18F-FDG PET/CT for identifying the cause of signs and symptoms after a negative abdominal CT and negative thorax radiography. The study revealed increased tracer uptake at the peritoneal ascites and at the right sacroiliac joint in absence of bone alteration suggesting a sacroiliitis. Staining of the ascitic fluid was positive for acid-fast bacilli (Ziehl�Neelsen) and in the subsequent abdominal paracentesis Mycobacterium Tuberculosis was isolated; the final diagnosis was abdominal tuberculosis with a sacroiliac joint involvement. The patient started antitubercular therapy for 6 months and the clinical conditions were resolved, in particular both back pain and ascites disappeared.

Item Type: Article
Subjects: WN Radiology . Diagnostic Imaging
Divisions: Journals > Asia Oceania J Nuclear Medicine & Biology
Depositing User: AOJNMB AOJNMB
Date Deposited: 04 Sep 2017 14:07
Last Modified: 04 Sep 2017 14:07
URI: http://eprints.mums.ac.ir/id/eprint/352

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