| Clinical value of FDG-PET/CT for the diagnosis of human immunodeficiency virus-associated fever of unknown origin: a retrospective study. | |
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MedLine Citation:
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PMID: 19306513 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: The aim of this study was to evaluate retrospectively the usefulness of [18F]fluorodeoxyglucose (FDG)-PET/ computed tomography (CT) in patients affected by human immunodeficiency virus and suffering from fever of unknown origin (HIV-associated FUO). MATERIAL AND METHODS: Ten patients (six males, four females, age 24-48 years) suffering from HIV-associated FUO were studied by FDG-PET/CT. Final diagnosis was established either by microbiological or histopathological analysis or by a more than 6-month follow-up. FDG-PET/CT was regarded as 'helpful for diagnosis' when the abnormal uptake pointed to the organ or location where the cause of fever was thereafter identified. RESULTS: Nine out of 10 FDG-PET/CT were abnormal and the cause of fever was further demonstrated by other diagnostic procedures. An infectious process (tuberculosis) was diagnosed in six patients and a neoplasm in three (two lymphomas, one Kaposi's sarcoma). FDG-PET/CT directly suggested sites for biopsy in six patients (tuberculous lymphadenitis and neoplasm). The only patient with normal FDG-PET/CT suffered from drug-induced fever. CONCLUSION: FDG-PET/CT is a valuable tool in patients with HIV-associated FUO. FDG-PET/CT was categorized as 'helpful for diagnosis' in nine out of the 10 patients we studied. Adding the CT anatomical landmarks to the PET findings allowed an accurate and easy localization of the sites to be punctured in the six patients in whom histopathological diagnosis was needed. |
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Authors:
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Catherine Castaigne; Marianne Tondeur; Stéphane de Wit; Marc Hildebrand; Nathan Clumeck; Michelle Dusart |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Nuclear medicine communications Volume: 30 ISSN: 0143-3636 ISO Abbreviation: Nucl Med Commun Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-03-23 Completed Date: 2009-04-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8201017 Medline TA: Nucl Med Commun Country: England |
Other Details:
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Languages: eng Pagination: 41-7 Citation Subset: IM |
Affiliation:
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Department of Nuclear Medicine, Saint-Pierre University Hospital, 322 rue Haute, Brussels 1000, Belgium. catherine_CASTAIGNE@stpierre-bru.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Fever of Unknown Origin / complications*, diagnosis*, pathology Fluorodeoxyglucose F18 / diagnostic use* HIV Infections / complications* Humans Male Middle Aged Positron-Emission Tomography Retrospective Studies Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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63503-12-8/Fluorodeoxyglucose F18 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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