Tuberculous Spondylodiscitis with Psoas Abscess Descending into the Anterior Femoral Compartment Identified Using 2-deoxy-2-[18F]fluoroglucose Positron Emission Tomography Computed Tomography-Reference-Cited by-同舟云学术

Tuberculous Spondylodiscitis with Psoas Abscess Descending into the Anterior Femoral Compartment Identified Using 2-deoxy-2-[18F]fluoroglucose Positron Emission Tomography Computed Tomography

Published:2024-05-15 Issue:10 Volume:14 Page:1018
ISSN:2075-4418
Container-title:Diagnostics
language:en
Short-container-title:Diagnostics

Author:

Scherer Julian¹²³^ORCID,Kotze Tessa⁴^ORCID,Mdiza Zintle⁴,Lawson Andrew⁴,Held Michael¹,Thienemann Friedrich³⁴⁵^ORCID

Affiliation:

1. Orthopaedic Research Unit, Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Science, University of Cape Town, Cape Town 7925, South Africa

2. Department of Traumatology, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland

3. General Medicine & Global Health Research Unit, Department of Medicine and Cape Heart Institute, Faculty of Health Science, University of Cape Town, Cape Town 7925, South Africa

4. CUBIC, PET/CT, Department of Medicine, University of Cape Town, Cape Town 7925, South Africa

5. Department of Internal Medicine, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland

Abstract

A 24-year-old immunocompetent woman underwent whole-body 18F-FDG PET/CT for the evaluation of MRI-suspicious tuberculous spinal lesions. The PET/CT results showed no pathological uptake in either lung, and there were no pathological changes on CT. There was increased uptake in the right psoas muscle, extending continuously down anterior to the right hip joint, posterior to and around the trochanteric region of the right femur, and into the right thigh, with an SUVmaxbw of 17.0. Subsequently, the patient underwent CT-guided biopsy as per protocol, which revealed drug-sensitive Mycobacterium tuberculosis, and the patient was started on standard tuberculosis treatment for 12 months.

Funder

AO Foundation

AO Spine

European Union

General Medicine & Global Health Research Unit (www.gmgh.africa) of the University of Cape Town

University of Cape Town

Publisher

MDPI AG

Link

https://www.mdpi.com/2075-4418/14/10/1018/pdf

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