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Case Report: Incidental Finding of COVID-19 Infection after Positron Emission Tomography/CT Imaging in a Patient with a Diagnosis of Histoplasmosis and Recurring Fever.
Stasiak, Camila Edith Stachera; Nigri, David Henrique; Cardoso, Fabrícius Rocha; Mattos, Raphael Santos de Almeida Rezende de; Gonçalves Martins, Philippe Alcântara; Carvalho, Alysson Roncally Silva; Altino de Almeida, Sérgio; Rodrigues, Rosana Souza; Rosado-de-Castro, Paulo Henrique.
  • Stasiak CES; 1Department of Radiology, D'Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil.
  • Nigri DH; 2Samaritano Hospital, Rio de Janeiro, Brazil.
  • Cardoso FR; 1Department of Radiology, D'Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil.
  • Mattos RSAR; 3Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Gonçalves Martins PA; 3Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
  • Carvalho ARS; 4Cardiovascular R&D Centre (UnIC), Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.
  • Altino de Almeida S; 5Laboratory of Pulmonary Engineering, Biomedical Engineering Program, Alberto Luiz Coimbra Institute of Post-Graduation, Research in Engineering, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Rodrigues RS; 6Laboratory of Respiration Physiology, Carlos Chagas Filho Institute of Biophysics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
  • Rosado-de-Castro PH; 1Department of Radiology, D'Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil.
Am J Trop Med Hyg ; 104(5): 1651-1654, 2021 Apr 02.
Article in English | MEDLINE | ID: covidwho-1302662
ABSTRACT
This is a case report of a 37-year-old woman evaluated with 18F-fludeoxyglucose (18F-FDG) positron emission computed tomography/CT with recurrent fever after treatment with itraconazole for 6 weeks for histoplasmosis. The examination demonstrated a decrease in the dimensions of the pulmonary opacities previously identified in the left lower lobe and attributed to histoplasmosis. In addition to these pulmonary opacities, increased FDG uptake was also observed in lymph nodes present in the cervical region, mediastinum, left lung hilum, and hepatic hilum. Notably, other pulmonary opacities with ground-glass pattern that were not present in the previous computed tomography were detected in the right lower lobe, with mild 18F-FDG uptake. Nasal swab performed shortly after the examination was positive for COVID-19. In this case, the 18F-FDG positron emission computed tomography/CT study demonstrated findings consistent with active COVID-19 infection coexisting with inflammatory changes associated with histoplasmosis infection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Positron Emission Tomography Computed Tomography / SARS-CoV-2 / COVID-19 / Histoplasmosis Type of study: Case report / Experimental Studies Limits: Adult / Female / Humans Language: English Journal: Am J Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Ajtmh.20-0952

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Positron Emission Tomography Computed Tomography / SARS-CoV-2 / COVID-19 / Histoplasmosis Type of study: Case report / Experimental Studies Limits: Adult / Female / Humans Language: English Journal: Am J Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Ajtmh.20-0952