18F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case report

We presented a case of a 66-year-old female whose initial symptom was headache without obvious inducement. The patient's condition progressed rapidly to a semi-coma state after symptomatic treatment. The 18F-FDG PET/CT scan revealed circular FDG hypermetabolism and central metabolic defect of t...

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Main Authors: Hualei Xu, Dawei Wang, Kunwei Cui, Ruimei Wan, Quan Chi, Tao Wu
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324001122
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author Hualei Xu
Dawei Wang
Kunwei Cui
Ruimei Wan
Quan Chi
Tao Wu
author_facet Hualei Xu
Dawei Wang
Kunwei Cui
Ruimei Wan
Quan Chi
Tao Wu
author_sort Hualei Xu
collection DOAJ
description We presented a case of a 66-year-old female whose initial symptom was headache without obvious inducement. The patient's condition progressed rapidly to a semi-coma state after symptomatic treatment. The 18F-FDG PET/CT scan revealed circular FDG hypermetabolism and central metabolic defect of the pons and left frontal lobe lesions. The combination of clinical findings, MRI, and Metagenomic next-generation sequencing (NGS) of cerebrospinal fluid led to the diagnosis of Balamuthia mandrillaris encephalitis. The patient died 5 days after discharge.
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spelling doaj.art-4fdc21209c5f44e18e014d6ae9c4f65d2024-03-10T05:11:56ZengElsevierRadiology Case Reports1930-04332024-05-011951851185418F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case reportHualei Xu0Dawei Wang1Kunwei Cui2Ruimei Wan3Quan Chi4Tao Wu5Department of Nuclear Medicine, Taihe County People's Hospital, Taihe, ChinaDepartment of Nuclear Medicine, Taihe County People's Hospital, Taihe, ChinaDepartment of Laboratory Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, ChinaDepartment of Nuclear Medicine, Taihe County People's Hospital, Taihe, ChinaDepartment of Nuclear Medicine, Taihe County People's Hospital, Taihe, ChinaDepartment of Nuclear Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, China; Corresponding author:We presented a case of a 66-year-old female whose initial symptom was headache without obvious inducement. The patient's condition progressed rapidly to a semi-coma state after symptomatic treatment. The 18F-FDG PET/CT scan revealed circular FDG hypermetabolism and central metabolic defect of the pons and left frontal lobe lesions. The combination of clinical findings, MRI, and Metagenomic next-generation sequencing (NGS) of cerebrospinal fluid led to the diagnosis of Balamuthia mandrillaris encephalitis. The patient died 5 days after discharge.http://www.sciencedirect.com/science/article/pii/S1930043324001122Balamuthia mandrillarisPET/CTEncephalitisMetagenomic next-generation sequencingCerebrospinal fluid
spellingShingle Hualei Xu
Dawei Wang
Kunwei Cui
Ruimei Wan
Quan Chi
Tao Wu
18F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case report
Radiology Case Reports
Balamuthia mandrillaris
PET/CT
Encephalitis
Metagenomic next-generation sequencing
Cerebrospinal fluid
title 18F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case report
title_full 18F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case report
title_fullStr 18F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case report
title_full_unstemmed 18F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case report
title_short 18F-FDG PET/CT findings in fatal Balamuthia Mandrillaris encephalitis in brain stem: A case report
title_sort 18f fdg pet ct findings in fatal balamuthia mandrillaris encephalitis in brain stem a case report
topic Balamuthia mandrillaris
PET/CT
Encephalitis
Metagenomic next-generation sequencing
Cerebrospinal fluid
url http://www.sciencedirect.com/science/article/pii/S1930043324001122
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