Interesting images
18F-FDG imaging of disseminated non-tuberculous mycobacteria infection in a patient with AIDS
Imágenes con [18F]-FDG en una infección diseminada por micobacterias de origen no tuberculoso en un paciente con SIDA
Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China
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"apellidos" => "Li" "email" => array:1 [ 0 => "tsflyh@126.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Imágenes con [<span class="elsevierStyleSup">18</span>F]-FDG en una infección diseminada por micobacterias de origen no tuberculoso en un paciente con SIDA" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3442 "Ancho" => 2508 "Tamanyo" => 322794 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0040" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The MIP images of whole-body <span class="elsevierStyleSup">18</span>F-FDG PET/CT showed multifocal intense FDG accumulation mainly in skin and bony lesions.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 57-year-old man with AIDS was admitted to our hospital due to progressive pain and swelling in the large joints of limbs as well as rashes on lower limbs for half a month. The level of C-reactive protein (123.0<span class="elsevierStyleHsp" style=""></span>mg/L; reference range, <5.0<span class="elsevierStyleHsp" style=""></span>mg/L) was significantly elevated. Except for Epstein-Barr virus and cytomegalovirus infections, laboratory tests identifying co-existent opportunistic infections and autoimmune diseases were negative. The enlarged axillary and inguinal lymph nodes and lytic bone destruction of right wrist joint detected respectively by ultrasound and plain CT raised concern for malignant diseases. Thus, whole-body <span class="elsevierStyleSup">18</span>F-FDG PET/CT scan was performed. The MIP and axial images illustrated multifocal intense FDG accumulation mainly in skin and bony lesions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A and B, <a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>A–C). Based on above findings in the AIDS setting, a malignant tumor was suspected. Eventually, pathological findings of acid-fast staining and quantitative polymerase chain reaction assay in a skin biopsy specimen proved non-tuberculous mycobacteria (NTM) infection. Symptoms were relieved after receiving anti-NTM therapy. NTM, typical environmental organisms, have been reported to cause pulmonary and extrapulmonary infections, with pulmonary infection being the most frequent.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> As for extrapulmonary NTM infection, skin, soft tissues and lymph nodes are commonly involved sites, while musculoskeletal infection presenting as osteolysis is rare.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In addition, disseminated NTM infection is typically associated with severe immunosuppression and in AIDS patients just as our case, the disseminated lesions showing hypermetabolic activity can mimic imaging and clinical manifestations of malignancies.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>. Our case presented FDG PET/CT features of disseminated NTM infection with skin and bone involvement in an AIDS patient, highlighting the role of PET/CT in assessing the exact extent and activity of disseminated lesions.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">None to declare by all authors.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "1" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Li Li and Haitao Wang contributed equally to this work and shared joint first authorship.</p>" "identificador" => "fn0005" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3442 "Ancho" => 2508 "Tamanyo" => 322794 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0040" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The MIP images of whole-body <span class="elsevierStyleSup">18</span>F-FDG PET/CT showed multifocal intense FDG accumulation mainly in skin and bony lesions.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1316 "Ancho" => 3008 "Tamanyo" => 268899 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0045" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Representative lesions in cutaneous and subcutaneous with focal FDG uptake were showed in the axial images. (A) Lesions in the abdominal wall with an SUVmax 2.23. (B) A lesion on right upper thigh with an SUVmax 5.44.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 2031 "Ancho" => 3008 "Tamanyo" => 286999 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0050" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Representative bone lesions with intense FDG uptake were showed in the axial images. (A) Osteolytic lesions located in the right humerus with an SUVmax 8.74. (B) Osteolytic lesions and soft tissue swelling were observed at the right wrist joint, with an SUVmax 8.44. (C) Multiple osteolytic lesions involved the bilateral patella and the left femur with SUVmax 6.94.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Of tuberculosis and non-tuberculous mycobacterial infections - a comparative analysis of epidemiology, diagnosis and treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Gopalaswamy" 1 => "S. Shanmugam" 2 => "R. Mondal" 3 => "S. Subbian" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s12929-020-00667-6" "Revista" => array:5 [ "tituloSerie" => "J Biomed Sci" "fecha" => "2020" "volumen" => "27" "paginaInicial" => "74" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32552732" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Retrospective analysis of 10 cases of disseminated nontuberculous mycobacterial disease with osteolytic lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Tang" 1 => "J. Huang" 2 => "W. Zeng" 3 => "Y. Huang" 4 => "Y. Lei" 5 => "Y. Qiu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2147/IDR.S337956" "Revista" => array:6 [ "tituloSerie" => "Infect Drug Resist" "fecha" => "2021" "volumen" => "14" "paginaInicial" => "4667" "paginaFinal" => "4679" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34785914" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Usefulness of F-18 FDG PET/CT in the assessment of disseminated Mycobacterium avium complex infection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Sato" 1 => "T. Hiyama" 2 => "K. Kaito" 3 => "Y. Hayashi" 4 => "T. Okumura" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s12149-009-0298-5" "Revista" => array:6 [ "tituloSerie" => "Ann Nucl Med" "fecha" => "2009" "volumen" => "23" "paginaInicial" => "757" "paginaFinal" => "762" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19787313" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000004200000006/v1_202311030524/S225380892300068X/v1_202311030524/en/main.assets" "Apartado" => array:4 [ "identificador" => "7927" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Interesting images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22538089/0000004200000006/v1_202311030524/S225380892300068X/v1_202311030524/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225380892300068X?idApp=UINPBA00004N" ]
