Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis

A 23-year-old African native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. His physical examination revealed pain over the pubic symphysis and rectal tenderness on digital exam. The C-reactive protein (CRP) level was elevated along with positive blood...

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Autores principales: Rager, Olivier, Picarra, Marlise, Astrinakis, Emmanouil, Garibotto, Valentina, Amzalag, Gaël
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2018
Materias:
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191733/
https://www.ncbi.nlm.nih.gov/pubmed/30317850
http://dx.doi.org/10.4274/mirt.19484
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author Rager, Olivier
Picarra, Marlise
Astrinakis, Emmanouil
Garibotto, Valentina
Amzalag, Gaël
author_facet Rager, Olivier
Picarra, Marlise
Astrinakis, Emmanouil
Garibotto, Valentina
Amzalag, Gaël
author_sort Rager, Olivier
collection PubMed
description A 23-year-old African native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. His physical examination revealed pain over the pubic symphysis and rectal tenderness on digital exam. The C-reactive protein (CRP) level was elevated along with positive blood and urinary cultures for methicillin-resistant Staphylococcus aureus. An magnetic resonance imaging that has been performed to rule out arthritis/osteomyelitis in the pubis revealed edema of the symphysis. An (18)F-FDG positron emission tomography/computed tomography supported the diagnosis of prostate infection and showed a focal uptake of the pubic symphysis, with diffuse hyper-metabolism of the insertions of the rectus abdominis and longus adductor muscles, corresponding to athletic pubalgia. Fever and CRP responded rapidly to antibiotherapy.
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spelling pubmed-61917332018-10-22 Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis Rager, Olivier Picarra, Marlise Astrinakis, Emmanouil Garibotto, Valentina Amzalag, Gaël Mol Imaging Radionucl Ther Interesting Image A 23-year-old African native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. His physical examination revealed pain over the pubic symphysis and rectal tenderness on digital exam. The C-reactive protein (CRP) level was elevated along with positive blood and urinary cultures for methicillin-resistant Staphylococcus aureus. An magnetic resonance imaging that has been performed to rule out arthritis/osteomyelitis in the pubis revealed edema of the symphysis. An (18)F-FDG positron emission tomography/computed tomography supported the diagnosis of prostate infection and showed a focal uptake of the pubic symphysis, with diffuse hyper-metabolism of the insertions of the rectus abdominis and longus adductor muscles, corresponding to athletic pubalgia. Fever and CRP responded rapidly to antibiotherapy. Galenos Publishing 2018-10 2018-10-09 /pmc/articles/PMC6191733/ /pubmed/30317850 http://dx.doi.org/10.4274/mirt.19484 Text en ©Copyright 2018 by Turkish Society of Nuclear Medicine / Molecular Imaging and Radionuclide Therapy published by Galenos Yayinevi. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Interesting Image
Rager, Olivier
Picarra, Marlise
Astrinakis, Emmanouil
Garibotto, Valentina
Amzalag, Gaël
Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis
title Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis
title_full Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis
title_fullStr Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis
title_full_unstemmed Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis
title_short Incidental (18)F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis
title_sort incidental (18)f-fdg uptake of the pubic ramus and abdominal muscles due to athletic pubalgia during acute prostatitis
topic Interesting Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191733/
https://www.ncbi.nlm.nih.gov/pubmed/30317850
http://dx.doi.org/10.4274/mirt.19484
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AT amzalaggael incidental18ffdguptakeofthepubicramusandabdominalmusclesduetoathleticpubalgiaduringacuteprostatitis

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