Isolated splenic Mycobacterium tuberculosis complex infection in an immunocompetent individual with FDG-PET positive mass

Nishina, Sayaka; Sakai, Hitoshi; Kawakami, Toru; Kanai, Shinichiro; Ushiki, Atsuhito; Natori, Tatsuya; Igarashi, Yuriko; Mitarai, Satoshi; Yoshiyama, Takashi; Ishida, Fumihiro; Nakazawa, Hayakazu

doi:10.1016/j.jiac.2020.09.018

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…The patient in our case had soft tissue mass without any necrosis area. Solitary splenic mass with increasing FDG uptake should consider the possibility with tuberculosis, 5 histiocyte-rich pseudotumor, 6 reactive lymphoid hyperplasia, 7 sclerosing angiomatoid nodular transformation, 8 and inflammatory pseudotumor-like follicular dendritic cell tumor 9 . Our case added the knowledge of another image appearance of splenic metastasis, which should be considered as a differential diagnosis when we notice a splenic mass with intense FDG uptake.…”

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confidence: 57%

Solitary Splenic Metastasis From Endometrial Carcinoma Revealed on FDG PET/CT

Xiao

2022

Clin Nucl Med

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confidence: 57%

Solitary Splenic Metastasis From Endometrial Carcinoma Revealed on FDG PET/CT

Xiao

2022

Clin Nucl Med

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“…Computed tomography scan can show hypo- or hyperdensities in splenic TB, but in most of the instances it is misdiagnosed as fungal abscess or lymphoma [8] . CT scan can be used also to detect concurrent lesions in the other parts of the chest or the abdomen [9] .…”

Section: Discussionmentioning

confidence: 99%

Pyo pneumothorax revealing splenic tuberculosis abscess in a COVID-19 femmal: A case report

Bouassida

Dahmane

Zribi

et al. 2022

International Journal of Surgery Case Reports

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“…Primary and isolated splenic TB is an extremely rare disease. However, it is a common finding in patients with disseminated or miliary tuberculosis [ 5 , 15 ]. Its clinical manifestation can be only the splenic enlargement complicated with several tiny splenic lesions that cannot be visualized by the naked eye during surgery or by imaging examinations [ 1 , 6 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Contrast-Enhanced Ultrasound Imaging Features of Focal Splenic Tuberculosis

Zhang

et al. 2021

Med Sci Monit

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Background The aim of this study was to characterize the contrast-enhanced ultrasound imaging features of focal splenic tuberculosis. Material/Methods We retrospectively analyzed the conventional ultrasound (US) and contrast-enhanced ultrasound (CEUS) imaging features of 22 patients with splenic TB confirmed by surgical histopathology or biopsy. Results Conventional US demonstrated that 15 of the 22 patients had a single lesion, while 7 had multiple lesions. The maximum diameter of the lesions ranged from 1.0 to 3.7 cm. Of the 22, 17 were detected with hypoecho and 5 were detected with complex echo by conventional US. Seven (7/22) were detected with blood flow signals by color Doppler flow image (CDFI). CUES demonstrated that 18 cases (81.8%, 18/22) began to enhance in the arterial phase, mostly followed by slow wash-out in the intermediate or late parenchymal phase, and 4 (18.2%, 4/22) presented with non-enhancement during all phases. The enhancement patterns were categorized into 4 types: Type I, homogeneous enhancement (2/22); Type II, rim-like enhancement (12/22); Type III, septation-like enhancement (4/22); and Type IV, non-enhancement (4/22). Conclusions CEUS showed that splenic TB lesions were enhanced in the arterial phase, followed by slow washed out or persistent enhancement in the intermediate and late parenchymal phases. The rim- or septation-like enhancement may be helpful for diagnosing splenic TB. The splenic lesions presenting round hypoecho by conventional US and complete non-enhancement by CEUS are highly suspicious of splenic TB.

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Isolated splenic Mycobacterium tuberculosis complex infection in an immunocompetent individual with FDG-PET positive mass

Cited by 3 publications

References 18 publications

Solitary Splenic Metastasis From Endometrial Carcinoma Revealed on FDG PET/CT

Solitary Splenic Metastasis From Endometrial Carcinoma Revealed on FDG PET/CT

Pyo pneumothorax revealing splenic tuberculosis abscess in a COVID-19 femmal: A case report

Contrast-Enhanced Ultrasound Imaging Features of Focal Splenic Tuberculosis

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