Diagnostic utility of PET/CT in a patient with miliary tuberculosis

https://doi.org/10.4081/monaldi.2019.1080

Authors

  • Cuneyt Tetikkurt | tetikkurt@gmail.com Pulmonary Diseases Department, Cerrahpasa Medical Faculty, Istanbul Cerrahpasa University, Turkey. http://orcid.org/0000-0002-4122-2908
  • Nurbanu Inci Internal Medicine Department, Cerrahpasa Medical Faculty, Istanbul Cerrahpasa University,, Turkey.
  • Hail Yanardag Internal Medicine Department, Cerrahpasa Medical Faculty, Istanbul Cerrahpasa University,, Turkey.

Abstract

A 63-year-old male presented with loss of appetite, subfebrile fever, swelling of the right hand and dyspnea on exertion for three months. Past medical history revealed methotrexate treatment of six months for rheumatoid arthritis. Chest radiography and computed tomography (CT) revealed diffuse miliary nodules. PET/CT scan demonstrated diffuse FDG uptake in both lungs, in the spleen, in the right hand, the mediastinal and the axillary lymph nodes. MR of the right hand showed inflammatory arthritis. Histopathology of the right hand tru-cut biopsy revealed degenerative changes. Culture of the hand biopsy tissue was positive for mycobacterium tuberculosis. PET/CT may determine the biopsy and the sampling sites for the early diagnosis of patients with suspected miliary tuberculosis where lesion identification on other modalities may be difficult or unfeasible. High sensitivity for inflammatory diseases makes PET/CT a useful diagnostic utility for enabling early diagnosis in miliary tuberculosis which is a diagnostic predicament.

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Published
2019-06-11
Info
Issue
Section
Pneumology - Case Reports
Keywords:
Tuberculosis, miliary tuberculosis, methotrexate
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  • Abstract views: 900

  • PDF: 494
How to Cite
Tetikkurt, Cuneyt, Nurbanu Inci, and Hail Yanardag. 2019. “Diagnostic Utility of PET/CT in a Patient With Miliary Tuberculosis”. Monaldi Archives for Chest Disease 89 (2). https://doi.org/10.4081/monaldi.2019.1080.

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