unsuspected early necrotizing fasciitis identified by 18f-fdg pet imaging in a patient with acute myeloid leukemia

نویسندگان

subramanyam padma

palaniswamy shanmuga sundaram

gs shagos

satish kumar

چکیده

necrotizing fasciitis is a part of a spectrum of necrotizing soft tissue infections that usually follow a surgical intervention or a chronic / acute medical illness. diagnosis is often based on symptoms which classically start within hours after an injury. there are no reports on the use of pet/ct in this condition. sparing reports of its association in patients with malignancy (ca of colon and rectum) are available. here we present a young lady in remission from acute myeloid leukemia (aml) with sudden onset right knee pain and fever after a trivial foot injury. clinically an osteomyelitis or acute septic arthritis was suspected, although the location is not appropriate for osteomyelitis. 99mtc-mdp bone scan was performed followed by 18f-fdg pet. 18f-fdg pet scan was incremental in diagnosing subcutaneous infection around right knee even before appearance of an ulcer or skin erosion. tissue culture confirmed necrotizing fasciitis. this is the first case report highlighting necrotizing fasciitis in a patient with aml.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Unsuspected early necrotizing fasciitis identified by 18F-FDG PET imaging in a patient with acute myeloid leukemia

Necrotizing fasciitis is a part of a spectrum of necrotizing soft tissue infections that usually follow a surgical intervention or a chronic / acute medical illness. Diagnosis is often based on symptoms which classically start within hours after an injury. There are no reports on the use of PET/CT in this condition. Sparing reports of its association in patients with malignancy (Ca of colon and...

متن کامل

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

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 t...

متن کامل

Necrotizing fasciitis in a young patient with acute myeloid leukemia – a diagnostic challenge

BACKGROUND Necrotizing fasciitis is characterized by a fulminant destruction of the soft tissue with an alarmingly high mortality rate. One of the main reasons for the continued high mortality is due to the challenge to punctual recognize and diagnose this disease, as specific cutaneous signs can vary or even be missing early in its evolution - especially in case of simultaneous first manifesta...

متن کامل

Chronic myeloid leukemia detected on FDG PET/CT imaging in a patient with renal cell carcinoma.

It is well known that hematopoietic cytokine stimulation can cause increased fluorodeoxyglucose (FDG) accumulation in bone marrow on PET/CT imaging, which simulates that seen in patients with bone marrow metastases. However, increased bone marrow FDG uptake can be caused by other etiologies. We report a patient with operated renal cell carcinoma had no history of hematopoietic cytokine stimulat...

متن کامل

Early assessment of response to induction therapy in acute myeloid leukemia using 18F-FLT PET/CT

BACKGROUND We evaluated the suitability of 18F-fluorodeoxythymidine (18F-FLT) positron emission tomography (PET)/computed tomography (CT) for assessment of the early response to induction therapy and its value for predicting clinical outcome in patients with acute myeloid leukemia (AML). Adult patients who had histologically confirmed AML and received induction therapy were enrolled. All patien...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of nuclear medicine

ناشر: tehran university of medical sciences

ISSN 1681-2824

دوره 23

شماره 1 2014

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023