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A case of septic pulmonary embolism associated with renal abscess mimicking pulmonary metastases of renal malignancy

Authors
 Jo Sung Jung  ;  Sang Mi Lee  ;  Han Jo Kim  ;  Si-Hyong Jang  ;  Jeong Won Lee 
Citation
 ANNALS OF NUCLEAR MEDICINE, Vol.28(4) : 381-385, 2014 
Journal Title
 ANNALS OF NUCLEAR MEDICINE 
ISSN
 0914-7187 
Issue Date
2014
MeSH
Abscess/complications ; Abscess/diagnosis* ; Abscess/diagnostic imaging ; Diabetes Complications ; Diagnosis, Differential ; Enterococcus faecium* ; Female ; Fluorodeoxyglucose F18 ; Follow-Up Studies ; Gram-Positive Bacterial Infections/diagnosis* ; Gram-Positive Bacterial Infections/diagnostic imaging ; Gram-Positive Bacterial Infections/drug therapy ; Humans ; Kidney Neoplasms/pathology ; Middle Aged ; Multimodal Imaging ; Nephritis/diagnosis* ; Nephritis/diagnostic imaging ; Nephritis/drug therapy ; Pulmonary Embolism/diagnosis* ; Pulmonary Embolism/diagnostic imaging ; Pulmonary Embolism/etiology ; Radionuclide Imaging ; Radiopharmaceuticals ; Tomography, X-Ray Computed ; Treatment Outcome
Keywords
18F-fluorodeoxyglucose ; PET ; Septic pulmonary embolism ; Renal abscess
Abstract
We report the case of a 46-year-old woman with acute febrile symptom who had multiple pulmonary nodules and a renal mass. She underwent 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) to find a hidden malignancy and the cause of her fever. FDG PET/CT images demonstrated a renal mass and multiple lung nodules with intense FDG uptake, which was suspicious of a renal malignancy with multiple pulmonary metastatic lesions. CT-guided biopsies of the pulmonary and renal lesions only showed chronic inflammatory infiltrates without evidence of malignancy. She was diagnosed with septic pulmonary embolism from a renal abscess. One month after antibiotic treatment, the follow-up chest and abdomen CT showed improvement of the lung and renal lesions. This is the first case demonstrating the FDG PET/CT finding of septic pulmonary embolism associated with renal abscess in the published literature.
Full Text
http://link.springer.com/article/10.1007%2Fs12149-014-0811-3
DOI
10.1007/s12149-014-0811-3
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jeong Won(이정원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98746
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