Fortuitous F18-FDG uptake of the pubic ramus, and abdominal muscles corresponding to athletic pubalgia during acute prostatitis
Olivier Rager1, Marlise Picarra2, Emmanouil Astrinakis2, Valentina Garibotto1, Gaël Amzalag11Department of Nuclear Medicine, University Hospital of Geneva, Switzerland2Department of Radiology, University Hospital of Geneva, Switzerland
A 23 year old african native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. Physical examination revealed pain in the pubic symphysis and tenderness during rectal exam. CRP was elevated, blood and urinary cultures were positive for MRSA. An MRI performed to rule out arthritis/osteomyelitis in the pubis revealed oedema of the symphysis. A F18-FDG PET-CT supported the diagnosis of prostatic infection and showed a focal uptake of the pubic symphysis, with diffuse hypermetabolism of the insertions of the rectus abdominis and longus adductor, corresponding to athletic pubalgia. Fever and CRP faded out quickly after antibiotherapy.
Keywords: PET-CT, MRI, athletic pubalgia, sports hernia, prostatitis.Fortuitous F18-FDG uptake of the pubic ramus, and abdominal muscles corresponding to athletic pubalgia during acute prostatitis
Olivier Rager1, Marlise Picarra2, Emmanouil Astrinakis2, Valentina Garibotto1, Gaël Amzalag11Department of Nuclear Medicine, University Hospital of Geneva, Switzerland2Department of Radiology, University Hospital of Geneva, Switzerland
A 23 year old african native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. Physical examination revealed pain in the pubic symphysis and tenderness during rectal exam. CRP was elevated, blood and urinary cultures were positive for MRSA. An MRI performed to rule out arthritis/osteomyelitis in the pubis revealed oedema of the symphysis. A F18-FDG PET-CT supported the diagnosis of prostatic infection and showed a focal uptake of the pubic symphysis, with diffuse hypermetabolism of the insertions of the rectus abdominis and longus adductor, corresponding to athletic pubalgia. Fever and CRP faded out quickly after antibiotherapy.
Anahtar Kelimeler: PET-CT, MRI, athletic pubalgia, sports hernia, prostatitis.Corresponding Author: Olivier Rager, Switzerland
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