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18F-FDG PET/CT Metabolic Activity Assessment in Infective and Neoplastic Diseases: A Patient With Systemic Hydatidosis and Concomitant Burkitt Lymphoma

Asabella, Artor Niccoli PhD*; Altini, Corinna MD*; Pisani, Antonio Rosario MD*; Ingravallo, Giuseppe PhD; Rubini, Giuseppe PhD*

doi: 10.1097/RLU.0b013e318292aa17
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We report a case of a 73-year-old-man with systemic hydatidosis and concomitant Burkitt lymphoma. He came at our attention for fever and weight loss suspected for parasitic cyst discharge and also for lymphoproliferative disorder. We performed US, which showed disseminated parasitic cysts. CECT showed parasitic cysts and also several abdominal and thoracic lymphnodes and adrenal hypodense tissue. 18F-FDG PET/CT was performed and showed lack of 18F-FDG uptake in cysts and high 18F-FDG uptake in lymphnodes and adrenal glands. These findings permitted us to exclude the cyst discharge, to localize a site for biopsy, and to define and stage the Burkitt lymphoma.

From the *Nuclear Medicine Unit and †Pathological Anatomy Unit, D.I.M., University of Bari “Aldo Moro”, Bari, Italy.

Received for publication July 16, 2012; revision accepted March 10, 2013.

Conflicts of interest and sources of funding: none declared.

Reprints: Artor Niccoli Asabella, PhD, Piazza G. Cesare 11, 70124 Bari, Italy. E-mail:

© 2013 by Lippincott Williams & Wilkins