Diagnostic contribution of positron emission tomography with [18F]fluorodeoxyglucose for invasive fungal infections A. Hot, C. Maunoury, S. Poiree, F.

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Presentation transcript:

Diagnostic contribution of positron emission tomography with [18F]fluorodeoxyglucose for invasive fungal infections A. Hot, C. Maunoury, S. Poiree, F. Lanternier, J.P. Viard, P. Loulergue, H. Coignard, M.E. Bougnoux, F. Suarez, M.T. Rubio, N. Mahlaoui, B. Dupont, M. Lecuit, M. Faraggi, O. Lortholary Clinical Microbiology and Infection Volume 17, Issue 3, Pages 409-417 (March 2011) DOI: 10.1111/j.1469-0691.2010.03301.x Copyright © 2011 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 1 (a) Coronal emission. Positron emission tomography (PET) with [18F]2-fluoro-2-deoxy-d-glucose ([18F]FDG-PET) shows an inflammatory lesion in the right lower lobe. Both PET and computed tomography (CT) gave abnormal findings in the context of invasive pulmonary aspergillosis. (b) Coronal emission. [18F]FDG-PET scan 3 months after bone marrow transplant (BMT). Hypermetabolic lesions have disappeared. (c) [18F]FDG-PET scan shows uptake in the right upper lobe, in accordance with what was observed on the corresponding CT scan. The final diagnosis was, in fact, invasive aspergillosis and relapsing Hodgkin's disease. Clinical Microbiology and Infection 2011 17, 409-417DOI: (10.1111/j.1469-0691.2010.03301.x) Copyright © 2011 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 2 (a) Accumulation of [18F]2-fluoro-2-deoxy-d-glucose ([18F]FDG) in the liver before antifungal treatment in a patient with hepatosplenic candidiasis. (b) Three months after the beginning of antifungal therapy, [18F]FDG uptake has disappeared. Clinical Microbiology and Infection 2011 17, 409-417DOI: (10.1111/j.1469-0691.2010.03301.x) Copyright © 2011 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 3 (a) Chest computed tomography shows a single nodular shadow with an irregular margin, spiculation, convergence of peripheral vessels and pleural indentation, and positron emission tomography with [18F]2-fluoro-2-deoxy-d-glucose ([18F]FDG) ([18F]FDG-PET) demonstrated accumulation in the left lower lobe and uptake in a mediastinal adenopathy. (b) Three months later, [18F]FDG-PET shows decreased uptake of [18F]FDG in the same area. The diagnosis of coccidioidomycosis was confirmed by bronchoalveolar lavage, which grew Coccidioides immitis. Clinical Microbiology and Infection 2011 17, 409-417DOI: (10.1111/j.1469-0691.2010.03301.x) Copyright © 2011 European Society of Clinical Infectious Diseases Terms and Conditions

FIG. 4 (a) This patient presented with [18F]2-fluoro-2-deoxy-d-glucose ([18F]FDG) uptake in the left limb, and this accumulation was caused by a Phomopsis sp. post-traumatic infection. (b) Positron emission tomography with [18F]FDG shows accumulation of the isotope in the left foot, corresponding to a proven Madurella foot. Clinical Microbiology and Infection 2011 17, 409-417DOI: (10.1111/j.1469-0691.2010.03301.x) Copyright © 2011 European Society of Clinical Infectious Diseases Terms and Conditions