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FDG PET/CT of Gardnerella vaginalis Infection

Foret, Thibault MD*; Dhomps, Anthony MD*; Dauwalder, Olivier PharmD, PhD; Skanjeti, Andrea MD, PhD*; Tordo, Jeremie MD*

doi: 10.1097/RLU.0000000000002623
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We report the case of a 23-year-old woman with a history of cystic fibrosis and bilung transplantation, who presented clinically cervical swollen lymph nodes with alteration of her general state. 18F-FDG PET/CT was performed because of lymphoma suspicion and showed cervical and pelvic hypermetabolic lymphadenopathies, with linear vaginal hypermetabolism. There was an increase of lactate dehydrogenase, and Epstein-Barr virus detection was negative. A right cervical lymph node biopsy was performed, with no lymphoma involvement. Complementary microbiological investigations showed positive results for Gardnerella vaginalis.18F-FDG PET/CT lymphatic node hypermetabolism is not specific to lymphoma, particularly in immunocompromised patients.

From the *Nuclear Medicine Department,

Microbiology Laboratory, Hospices Civils de Lyon, Lyon, France.

Received for publication January 16, 2019; revision accepted March 31, 2019.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Jeremie Tordo, MD, Nuclear Medicine Hospital Lyon Sud, 165 Chemin du Grand Revoyet, 69495 Pierre-Benite Cedex, France. E-mail: tordo.jeremie@gmail.com.

Online date: May 17, 2019

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