Indian Journal of Nuclear Medicine

CASE REPORT
Year
: 2014  |  Volume : 29  |  Issue : 2  |  Page : 99--101

Tuberculosis the great mimicker: 18F-fludeoxyglucose positron emission tomography/computed tomography in a case of atypical spinal tuberculosis


Maria Mathew D'souza1, Anupam Mondal1, Rajnish Sharma1, Abhinav Jaimini1, Urmi Khanna2 
1 Division of PET Imaging, Institute of Nuclear Medicine and Allied Sciences, Brig. SK Majumdar Marg, New Delhi, India
2 Department of Dermatology and Venereology, ESIPGIMSR, New Delhi, India

Correspondence Address:
Maria Mathew D«SQ»souza
Division of PET Imaging, Institute of Nuclear Medicine and Allied Sciences, Brig. SK Majumdar Marg, New Delhi - 110 054
India

Tuberculosis (TB) has aptly been called the great mimicker. A 14-year-old boy, who had been treated for Hodgkin«SQ»s Lymphoma 2 years back and had been in remission, underwent a whole body 18F-fludeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scan, owing to a recent onset of backache and difficulty in walking. The study showed an FDG avid destructive lesion of the posterior elements of the sixth, seventh and eighth dorsal vertebrae along with a hypermetabolic collection in the adjacent paraspinal muscles with extension into the spinal canal, causing encasement of the thecal sac as well. Based on this constellation of findings, a diagnosis of atypical spinal TB was made, which was subsequently proven on histopathology. The present case illustrates that spinal TB, including the atypical form can be diagnosed on PET/CT even in clinically unsuspected cases.


How to cite this article:
D'souza MM, Mondal A, Sharma R, Jaimini A, Khanna U. Tuberculosis the great mimicker: 18F-fludeoxyglucose positron emission tomography/computed tomography in a case of atypical spinal tuberculosis.Indian J Nucl Med 2014;29:99-101


How to cite this URL:
D'souza MM, Mondal A, Sharma R, Jaimini A, Khanna U. Tuberculosis the great mimicker: 18F-fludeoxyglucose positron emission tomography/computed tomography in a case of atypical spinal tuberculosis. Indian J Nucl Med [serial online] 2014 [cited 2020 Mar 28 ];29:99-101
Available from: http://www.ijnm.in/article.asp?issn=0972-3919;year=2014;volume=29;issue=2;spage=99;epage=101;aulast=D%27souza;type=0