Panniculitis in a Woman With Opportunistic Pulmonary Coinfection by Pneumocystis jirovecii and Cryptococcus neoformans: 18F-FDG PET/CT Revealing the Infection and Assessing Treatment Response.
Clin Nucl Med
; 46(4): e210-e211, 2021 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-33315665
ABSTRACT
ABSTRACT A 56-year-old woman, with history of psoriasis well controlled on ustekinumab, underwent 18F-FDG PET/CT to explore first onset of histologically proven skin panniculitis of unknown origin. PET/CT showed high uptake in panniculitis lesions in limbs and in a lung opacity suggestive of pneumonia. Based on PET/CT findings, a bronchoalveolar lavage revealed pulmonary coinfection by Pneumocystis jirovecii and Cryptococcus neoformans. Thus, hematogenous dissemination of infection was suspected as etiology of panniculitis. She was treated with fluconazole and trimethoprim-sulfamethoxazole, leading to total resolution of skin lesions. Posttherapeutic PET/CT showed complete metabolic response of skin and pulmonary lesions.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonia por Pneumocystis
/
Criptococose
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Cryptococcus neoformans
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Pneumocystis carinii
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Coinfecção
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Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada
Limite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Clin Nucl Med
Ano de publicação:
2021
Tipo de documento:
Article