A case of septic pulmonary embolism associated with renal abscess mimicking pulmonary metastases of renal malignancy
A case of septic pulmonary embolism associated with renal abscess mimicking pulmonary metastases of renal malignancy
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DOI：
10.1007/s12149-014-0811-3
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发表时间：
2014-05-01
影响因子：
2.6
通讯作者：
Lee, Jeong Won
中科院分区：
文献类型：
--
作者：
Jung, Jo Sung;Lee, Sang Mi;Lee, Jeong Won
我们报告一位46岁女性的急性发热症状，她有多个肺结节和肾脏肿块。她接受了F-18-氟代脱氧葡萄糖(FDG)正电子发射断层扫描/计算机断层扫描(PET/CT)，以寻找隐藏的恶性肿瘤和发烧的原因。FDG PET/CT图像显示肾脏肿块和多个肺部结节，并伴有强烈的FDG摄取，怀疑为肾脏恶性肿瘤合并多个肺转移灶。CT引导下的肺和肾脏病变活检仅显示慢性炎性浸润物，而没有恶性病变的证据。她被诊断为肾脓肿所致的感染性肺栓塞。抗生素治疗1个月后，复查胸部和腹部CT显示肺、肾病变改善。在已发表的文献中，这是第一例FDGPET/CT发现的感染性肺栓塞合并肾脓肿的病例。
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 F-18-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.