18F-FDG PET/CT imaging and PET-guided biopsy in evaluation and treatment decision in adrenal histoplasmosis

Histoplasmosis is a rare opportunistic fungal infection. It is commonly seen in immunocompromised individuals from endemic areas. Adrenal glands are frequently involved in the disseminated disease. Here, we present the case of a retropositive patient with constitutional symptoms, where whole-body po...

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Published in:BJR case reports 2016-07, Vol.2 (3)
Main Authors: Kalathoorakath, Renjith Radhakrishnan, Sharma, Aman, Sood, Ashwani, Nahar, Uma, Gorla, Arun Kumar Reddy, Mittal, Bhagwant Rai
Format: Article
Language:English
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Case Report
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Summary:Histoplasmosis is a rare opportunistic fungal infection. It is commonly seen in immunocompromised individuals from endemic areas. Adrenal glands are frequently involved in the disseminated disease. Here, we present the case of a retropositive patient with constitutional symptoms, where whole-body positron emission tomography/CT scan revealed intense 18F-fludeoxyglucose uptake in bulky adrenal glands, and subsequent positron emission tomography-guided biopsy helped in establishing the diagnosis of adrenal histoplasmosis.
ISSN:2055-7159
2055-7159
DOI:10.1259/bjrcr.20150451