<sup>18</sup>F-FDG PET/CT Findings in Glandular Tularemia
A 47-year-old woman presented with fever, fatigue, night sweats and inguinal glandular swelling following a tick bite. Weeks of diagnostic uncertainty followed, and a lymph node biopsy was sent to be investigated for tularemia and pathology. An <sup>18</sup>F-FDG PET/CT scan was performe...
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MDPI AG
2025-05-01
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| author | Freja Gustafsson Karl Keigo Rasmussen Kristina Thorsteinsson Anne-Mette Lebech Lasse Fjordside |
| author_facet | Freja Gustafsson Karl Keigo Rasmussen Kristina Thorsteinsson Anne-Mette Lebech Lasse Fjordside |
| author_sort | Freja Gustafsson |
| collection | DOAJ |
| description | A 47-year-old woman presented with fever, fatigue, night sweats and inguinal glandular swelling following a tick bite. Weeks of diagnostic uncertainty followed, and a lymph node biopsy was sent to be investigated for tularemia and pathology. An <sup>18</sup>F-FDG PET/CT scan was performed due to a suspicion of malignant lymphoma. The scan revealed high metabolic activity in the left inguinal region, which was compatible with abscesses. The diagnosis of glandular tularemia was established on a positive PCR for <i>Francisella tularensis</i> (<i>F. tularensis</i>) and positive <i>F. tularensis</i> serology. This case highlights the challenges of diagnosing tularemia and illustrates the role of imaging. |
| format | Article |
| id | doaj-art-5399491a1f7a41af8d8dd6d7df09e0d3 |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
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| series | Diagnostics |
| spelling | doaj-art-5399491a1f7a41af8d8dd6d7df09e0d32025-08-20T03:52:56ZengMDPI AGDiagnostics2075-44182025-05-01159115910.3390/diagnostics15091159<sup>18</sup>F-FDG PET/CT Findings in Glandular TularemiaFreja Gustafsson0Karl Keigo Rasmussen1Kristina Thorsteinsson2Anne-Mette Lebech3Lasse Fjordside4Department of Infectious Diseases, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, DenmarkDepartment of Nuclear Medicine, Copenhagen University Hospital—Bispebjerg, Bispebjerg Bakke 23, DK-2400 Copenhagen, DenmarkDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital—Bispebjerg, Bispebjerg Bakke 23, DK-2400 Copenhagen, DenmarkDepartment of Infectious Diseases, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, DenmarkDepartment of Infectious Diseases, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, DenmarkA 47-year-old woman presented with fever, fatigue, night sweats and inguinal glandular swelling following a tick bite. Weeks of diagnostic uncertainty followed, and a lymph node biopsy was sent to be investigated for tularemia and pathology. An <sup>18</sup>F-FDG PET/CT scan was performed due to a suspicion of malignant lymphoma. The scan revealed high metabolic activity in the left inguinal region, which was compatible with abscesses. The diagnosis of glandular tularemia was established on a positive PCR for <i>Francisella tularensis</i> (<i>F. tularensis</i>) and positive <i>F. tularensis</i> serology. This case highlights the challenges of diagnosing tularemia and illustrates the role of imaging.https://www.mdpi.com/2075-4418/15/9/1159<sup>18</sup>F-FDG PET/CT<i>Francisella tularensis</i>Tularemia |
| spellingShingle | Freja Gustafsson Karl Keigo Rasmussen Kristina Thorsteinsson Anne-Mette Lebech Lasse Fjordside <sup>18</sup>F-FDG PET/CT Findings in Glandular Tularemia Diagnostics <sup>18</sup>F-FDG PET/CT <i>Francisella tularensis</i> Tularemia |
| title | <sup>18</sup>F-FDG PET/CT Findings in Glandular Tularemia |
| title_full | <sup>18</sup>F-FDG PET/CT Findings in Glandular Tularemia |
| title_fullStr | <sup>18</sup>F-FDG PET/CT Findings in Glandular Tularemia |
| title_full_unstemmed | <sup>18</sup>F-FDG PET/CT Findings in Glandular Tularemia |
| title_short | <sup>18</sup>F-FDG PET/CT Findings in Glandular Tularemia |
| title_sort | sup 18 sup f fdg pet ct findings in glandular tularemia |
| topic | <sup>18</sup>F-FDG PET/CT <i>Francisella tularensis</i> Tularemia |
| url | https://www.mdpi.com/2075-4418/15/9/1159 |
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