Clinical Nuclear Medicine · 2005 · 33 citations · 6 references
MedicineInternal MedicineRadiologyDiagnostic ImagingDiagnostic RadiologyPulmonologyPositron Emission TomographyPulmonary ImagingPulmonary InfectionsPulmonary Nuclear ImagingPulmonary PathologyRespiratory DiseaseBronchoalveolar Lavage ExaminationFluorine-18 Fluorodeoxyglucose Positron Emission TomographyLung CytologyPneumocystis InfectionPneumonia DiagnosisPositron Emission Tomography DetectionPulmonary CytologyRespiratory Disease Imaging
The authors present a case of a 26-year-old man, under investigation for Cushing syndrome, who presented acutely with a dry cough and fever. The blood tests were unremarkable apart from a moderate to severe leukopenia. Imaging tests were suggestive of an atypical pneumonia, which was proven to be Pneumocystis carinii pneumonia (PCP) on cytology examination of a bronchoalveolar lavage (BAL). The acute lung changes were demonstrated on a whole-body F-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) study. After treatment, a follow-up study showed complete resolution of these changes. The authors suggest that FDG PET may have a role to play in the diagnosis and, in particular, the monitoring of PCP in immunocompromised patients.
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PET scanning and the human immunodeficiency virus-positive patient.
Michael O’Doherty, Sally F. Barrington, Meg Campbell et al. · PubMed · 1997 · 214 citations