2018
DOI: 10.3390/diagnostics9010003
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18F-FDG PET/CT Findings in Cytomegalovirus Colitis

Abstract: We present a case demonstrating the diagnostic work-up of a patient undergoing azathioprine treatment for inflammatory bowel disease (IBD), diagnosed with an acute cytomegalovirus (CMV) infection and CMV colitis. An 18F-FDG positron emission tomography/computed tomography (PET/CT) performed 2 weeks after debut of symptoms revealed pathological 18F-FDG uptake in the left side of the colon mucosa, mimicked activity of IBD. However, a diagnosis of CMV colitis was based on the presence of CMV IgM antibodies, a ser… Show more

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Cited by 5 publications
(2 citation statements)
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“…CMV infections can show increased FDG uptake in PET scans. For example, lymphadenitis [ 20 ], GI infections [ 27 , 28 ], and infectious mononucleosis [ 29 ]. A case of CMV lymphadenitis mimicking lymphoma relapse in PET scan has been reported [ 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…CMV infections can show increased FDG uptake in PET scans. For example, lymphadenitis [ 20 ], GI infections [ 27 , 28 ], and infectious mononucleosis [ 29 ]. A case of CMV lymphadenitis mimicking lymphoma relapse in PET scan has been reported [ 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…However, immunosuppression is associated with the Herpes simplex colitis or UC (Temtem et al 2021 ). CMV-associated colitis or UC has been linked to active illness, immunosuppressive medicine, steroid therapy, steroid-refractory disease progression and higher colectomy rates in IBD patients (with high-grade CMV infection) (Kjaer et al 2018 ; Mourad et al 2020 ; Hazır-Konya et al 2021 ; Leal et al 2022 ; Ouali and Achkar 2022 ). CMV has been also associated with early relapse of colitis.…”
Section: Methodsmentioning
confidence: 99%